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NPI Code Detail

MEDICARE: DR. NATHALIE EDMOND PSY.D.

MEDICARE:  DR. NATHALIE  EDMOND  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist35SI00427400NJ

General Provider Information

NPI Number : 1710016548
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHALIE EDMOND PSY.D.
Provider Business Mailing Address
First Line : 20 SCOTCH RD STE E
Second Line :
City : EWING
State : NJ
Zip : 08628-2529
Country : US
Telephone Number : 609-403-6359
Fax Number : 609-357-9488
Provider Business Practice Location Address
First Line : 20 SCOTCH RD STE E
Second Line :
City : EWING
State : NJ
Zip : 08628-2529
Country : US
Telephone Number : 609-403-6359
Fax Number : 609-357-9488
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2007
Last Update Date : 02/07/2022

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