Jerrold C. Edelberg PH.D.

NPI 1619203973 - Psychologist - 103TC0700X

NPI Details
NPI 1619203973
Gender Male
Enumeration Date 10/21/2009
Last Updated 11/06/2013
Entity Type Individual
Active Over 7 years ago
Practice Location
280B GANNETT DR
SOUTH PORTLAND ME, 04106-6940, US
Phone (207) 828-0048
Fax (207) 772-3743
Business Location
280B GANNETT DR
SOUTH PORTLAND ME, 04106-6940, US
Phone (207) 828-0048
Fax (207) 772-3743
Toxanomy
Taxonomy Code 103TC0700X
License State Maine
License Number PS561
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According to our database, Dr. Jerrold C. Edelberg PH.D. NPI is 1619203973, taxonomy code is 103TC0700X and license number is PS561, license state is located at Maine. Jerrold C. Edelberg PH.D. physically located at 280b Gannett Dr, South Portland ME, 04106-6940. NPI Number Jerrold C. Edelberg PH.D. has the Individual type.

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1619203973 NPI number is provided on an as is basis without warranty of any kind. 1619203973 is maintained by the National Plan & Provider Enumeration System. The contents of Jerrold C. Edelberg PH.D. are for informational purposes only.