Individual
DR. MERYL UDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
110 MARTER AVE STE 201, MOORESTOWN, NJ 08057-3124
(856) 778-4330
(856) 778-4408
Mailing address
110 MARTER AVE STE 201, MOORESTOWN, NJ 08057-3124
(856) 778-4330
(856) 778-4408
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35S100401000
NJ
103TC0700X
Clinical Psychologist
PS-009105-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1215470174
—
NJ
Enumeration date
02/03/2017
Last updated
02/03/2017
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