Provider Demographics
NPI:1467154955
Name:NUDELMAN THERAPY & CONSULTING, PLLC
Entity Type:Organization
Organization Name:NUDELMAN THERAPY & CONSULTING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXA
Authorized Official - Middle Name:
Authorized Official - Last Name:NUDELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:512-827-8685
Mailing Address - Street 1:177 107TH AVE NE APT 1706
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-5939
Mailing Address - Country:US
Mailing Address - Phone:512-827-8685
Mailing Address - Fax:
Practice Address - Street 1:21602 94TH PL S
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98031-1902
Practice Address - Country:US
Practice Address - Phone:512-827-8685
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-20
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty