Active NPIIndividual provider

Dr. Fatimata M Ly Fall, PHD

Counselor in Maplewood, New Jersey

NPI Number1174269179
Practice location
16 Berkeley St, Maplewood, NJ 07040-3317
Fax
—
Last updated
March 28, 2024

Fatimata M Ly Fall is a Counselor based in Maplewood, NJ. Fatimata M Ly Fall practices in Maplewood, NJ and has the professional credentials of PHD. The NPI Number for Fatimata M Ly Fall is 1174269179 and holds a License No. 37PC01017000 (NJ). The current practice location address for Fatimata M Ly Fall is 16 Berkeley St, Maplewood, NJ 07040-3317 and can be reached out via phone at 908-590-5810.

Provider Profile Details

NPI Number
1174269179
Provider Name
Fatimata M Ly Fall
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
16 Berkeley St, Maplewood, NJ 07040-3317
Phone Number
908-590-5810
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
May 11, 2022
Last Update Date
March 28, 2024
Certification Date
March 28, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
16 Berkeley St
Maplewood, NJ 07040-3317
Zip
07040-3317
Phone Number
908-590-5810
Maplewood, NJ 07040Get directions →

Provider Business Mailing Address Details

Address
16 Berkeley St
Maplewood, NJ 07040-3317
City
Maplewood
State
NJ
Zip
07040-3317
Phone Number
908-590-5810

License Information

License Number (1)
37PC01017000
License State (1)
NJ
Taxonomy (1)
Counselor, Professional · 101YP2500X
Taxonomy (2)
Counselor · 101Y00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Fatimata M Ly Fall, PHD?

The NPI number of Dr. Fatimata M Ly Fall, PHD is 1174269179. It was assigned on May 11, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. Fatimata M Ly Fall, PHD?

Dr. Fatimata M Ly Fall, PHD is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in NJ under license number 37PC01017000.

Where does Dr. Fatimata M Ly Fall, PHD practice?

The practice location is 16 Berkeley St, Maplewood, NJ 07040-3317. The office can be reached at 908-590-5810 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174269179 directly on the NPPES registry website.

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