MEDICARE: MRS. DEBORAH ANN NARDELLI MA

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	103TC0700X	Clinical Psychologist	PS-006975-L	PA

General Provider Information

NPI Number	:	1811903701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DEBORAH ANN NARDELLI MA

Provider Business Mailing Address
First Line	:	360 FREEPORT ST STE 208
Second Line	:
City	:	NEW KENSINGTON
State	:	PA
Zip	:	15068-6015
Country	:	US
Telephone Number	:	412-828-8500
Fax Number	:	412-828-0765

Provider Business Practice Location Address
First Line	:	360 FREEPORT ST STE 208
Second Line	:
City	:	NEW KENSINGTON
State	:	PA
Zip	:	15068-6015
Country	:	US
Telephone Number	:	412-828-8500
Fax Number	:	412-828-0765

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	02/16/2024

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