Individual
DRYDEN BARCLAY WATNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
216 MAPLE AVE, RED BANK, NJ 07701-1731
(929) 352-5037
Mailing address
216 MAPLE AVE, RED BANK, NJ 07701-1731
(929) 352-5037
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
5150
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID #
NY
01
—
1285628552
AGENCY NPI
NY
Enumeration date
12/20/2006
Last updated
11/06/2018
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