MEDICARE: TALIA ROSE DRINKWATER INTERN

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
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1770416844
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALIA ROSE DRINKWATER INTERN

Provider Business Mailing Address
First Line	:	127 MIDDLESEX AVE
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-1341
Country	:	US
Telephone Number	:	856-417-4315
Fax Number	:

Provider Business Practice Location Address
First Line	:	221 LAUREL RD STE 102
Second Line	:
City	:	VOORHEES
State	:	NJ
Zip	:	08043-8301
Country	:	US
Telephone Number	:	856-772-5809
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2026
Last Update Date	:	06/08/2026

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Directions to “ TALIA ROSE DRINKWATER INTERN” Practice Location

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