Udell, Meryl

Udell, Meryl is an sole proprietor health care provider with primary practice located at 110 Marter Ave Ste 201 , Moorestown NJ 08057-3124. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Udell, Meryl can be contacted via phone (856) 778-4330.

Contact Information

Primary practice address
110 Marter Ave Ste 201 Moorestown NJ 08057-3124
Phone: (856) 778-4330
Fax: (856) 778-4408
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 35S100401000 New Jersey
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS-009105-L Pennsylvania

Profile Details

NPI number 1356889919
LBN Legal business name Udell, Meryl
Credentials PSY. D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2017
Last updated Feb 3rd, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1356889919 NPPES
New Jersey MEDICAID 1215470174

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