Doctor Name: | DR. MARC J DUOME |
NPI Number: | 1568544252 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PSYD |
License Number: | PS004015L |
Business Practice Address: | 670 Woodbourne Rd Suite 302 Langhorne, PA - 19047 |
Business Phone Number: | 2157505525 |
Business Fax Number: | 2157505538 |
Mailing Address: | Po Box 215, BUCKINGHAM |
State: | PA |
Postal Code: | 189120215 |
Phone Number: | 2157505525 |
Fax Number: | 2157505538 |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | PS004015L |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
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. |