Provider Demographics
NPI:1750473765
Name:NAGELE, DREW (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DREW
Middle Name:
Last Name:NAGELE
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:469 E MAPLE AVENUE
Mailing Address - Street 2:BEECHWOOD NEUROREHAB
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1600
Mailing Address - Country:US
Mailing Address - Phone:215-750-4300
Mailing Address - Fax:215-750-4327
Practice Address - Street 1:469 E MAPLE AVE
Practice Address - Street 2:BEECHWOOD NEUROREHAB
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1600
Practice Address - Country:US
Practice Address - Phone:215-750-4300
Practice Address - Fax:215-750-4327
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2015-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004079L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist