Individual
DR. MADELINE NOMBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
016336
NY
103TC0700X
Clinical Psychologist
103TC0700X
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7350619
GHI
NY
Enumeration date
09/26/2006
Last updated
07/18/2011
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