Provider Demographics
NPI:1003692377
Name:DR DEL PSYCHOTHERAPY IN PRINCETON
Entity Type:Organization
Organization Name:DR DEL PSYCHOTHERAPY IN PRINCETON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:DELVERLON
Authorized Official - Middle Name:
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:917-576-1544
Mailing Address - Street 1:8 PENZIAS PL
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08904-1677
Mailing Address - Country:US
Mailing Address - Phone:917-576-1544
Mailing Address - Fax:
Practice Address - Street 1:138 NASSAU ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08542-7011
Practice Address - Country:US
Practice Address - Phone:917-576-1544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health