Provider Demographics
NPI:1851010532
Name:NORMALPSYCH PC
Entity Type:Organization
Organization Name:NORMALPSYCH PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MORGAN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BARDALL
Authorized Official - Suffix:
Authorized Official - Credentials:DNP PMHNP
Authorized Official - Phone:973-400-1706
Mailing Address - Street 1:18 BREMOND ST
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-2735
Mailing Address - Country:US
Mailing Address - Phone:973-400-1702
Mailing Address - Fax:973-400-1662
Practice Address - Street 1:18 BREMOND ST
Practice Address - Street 2:
Practice Address - City:BELLEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07109-2735
Practice Address - Country:US
Practice Address - Phone:973-400-1702
Practice Address - Fax:973-400-1662
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-25
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)