DR. DANIEL MEDLAR


Address: 35 E Elizabeth Ave, Suite 5, Bethlehem, PA 18018-6505
Phone: 6104177822

DR. DANIEL MEDLAR (NPI# 1578875407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1578875407
Entity Type Individual
Full Name DR. DANIEL MEDLAR
Credential PSY.D.
Practice Address 35 E Elizabeth Ave
Suite 5
Bethlehem
PA 18018-6505
Practice Telephone 6104177822
Practice Fax Number 6108682055
Mailing Telephone 6104177822
Mailing Fax Number 6108682055
Enumeration Date 2010-07-08
Last Update Date 2011-11-27
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103G00000X Clinical Neuropsychologist Behavioral Health & Social Service Providers
N 103TC0700X Psychologist
Specialization: Clinical
PS016992 PA Behavioral Health & Social Service Providers

Office Location

Street Address 35 E ELIZABETH AVE
SUITE 5
City BETHLEHEM
State PA
Zip Code 18018-6505

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1609215235 May Bassem Ambrogi Social Worker 35 E Elizabeth Ave, Bethlehem, PA 18018-6505 2013-06-17
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Taxonomy Information

Taxonomy Code 103G00000X
Grouping Behavioral Health & Social Service Providers
Classification Clinical Neuropsychologist

Taxonomy Definition

An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning.
Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1578016960 Kathleen Childs Clinical Neuropsychologist 1417 8th Ave, Bethlehem, PA 18018-2256 2016-08-02
1962891663 Aviva Y Marlin Clinical Neuropsychologist 1417 8th Ave, Bethlehem, PA 18018-2256 2015-01-18
1528368370 Bonita Fisher Clinical Neuropsychologist 206 W Broad St, Bethlehem, PA 18018-5571 2010-10-27
1588755425 St. Luke's Physician Group, Inc. Clinical Neuropsychologist 1417 8th Ave, Bethlehem, PA 18018-2256 2006-09-27
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1699266189 Eran Shlomo Auday Clinical Neuropsychologist 100 N Academy Ave Dept Of, Danville, PA 17822-1335 2018-05-21
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Competitor

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City BETHLEHEM
Zip Code 18018

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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