Judy Iwens Eidelson in Bala Cynwyd - Clinical
Judy Iwens Eidelson - NPI 1497705750
Judy Iwens Eidelson is a Clinical in Bala Cynwyd, Pennsylvania. Judy Iwens Eidelson practices all healthcare services and medical treatments related to Clinical. The NPI Number for Judy Iwens Eidelson is 1497705750. The last update date is 2010-10-20.
Judy Iwens Eidelson's current location address is 413 Pembroke Rd, Bala Cynwyd, Pennsylvania. You can contact this provider via phone number 6106684684. The mailing address for Judy Iwens Eidelson is 413 Pembroke Rd, Bala Cynwyd, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judy Iwens Eidelson |
|---|---|
| Address | 413 Pembroke Rd, Bala Cynwyd, Pennsylvania |
| Phone Number | 6106684684 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1497705750 |
|---|---|
| Provider Enumeration Date | 2006-05-10 |
| Last Updated Date | 2010-10-20 |
Provider Mailing Address Detail
| Address | 413 Pembroke Rd |
|---|---|
| City | Bala Cynwyd |
| State | Pennsylvania (PA) |
| Post Code | 190042724 |
| Phone Number | 6106684684 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS-004168-L |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Judy Iwens Eidelson by the Centers for Medicare & Medicaid Services?
The Judy Iwens Eidelson has been issued the NPI (National Provider Identifier) 1497705750, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Judy Iwens Eidelson?
The Judy Iwens Eidelson is situated at 413 Pembroke Rd, in the city of Bala Cynwyd, state of PA, with the zip code 190042724.
What is the Judy Iwens Eidelson's specialty and taxonomy code?
The Judy Iwens Eidelson's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
When was the Judy Iwens Eidelson's 1497705750 issued?
The Judy Iwens Eidelson's 1497705750 was issued on 2006-05-10.
When was the Judy Iwens Eidelson's information last updated?
The Judy Iwens Eidelson's information was last updated on 2010-10-20.
NPI Number: 1215930425
Address: 224 W Exchange St, Akron, OH