Organization
DELAWARE VALLEY PSYCHOLOGICAL SERVICES
Active
Organization
DELAWARE VALLEY PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MERYL E UDELL PSY.D. (OWNER MANAGING MEMBER)
(856) 778-3111
Entity
Organization
Contact information
Practice address
110 MARTER AVE, SUITE 406, MOORESTOWN, NJ 08057-3124
(856) 778-3111
(856) 231-7484
Mailing address
110 MARTER AVE, SUITE 406, MOORESTOWN, NJ 08057-3124
(856) 778-3111
(856) 231-7484
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
35SI00401000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0037974
—
NJ
Enumeration date
06/20/2007
Last updated
08/22/2020
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