Doctor Name: | DANIELLE NICOLE AGER |
NPI Number: | 1770851883 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY.D. |
License Number: | 04926 |
Business Practice Address: | 1528 Walnut St Suite 1500 Philadelphia, PA - 191023604 |
Business Phone Number: | 2157352505 |
Business Fax Number: | 2157352504 |
Mailing Address: | 7 Monroe Ave, PITMAN |
State: | NJ |
Postal Code: | 080711562 |
Phone Number: | 6092216289 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2011 |
NPI Last Update Date: | 12/03/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 04926 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
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. |