Provider Demographics
NPI:1740688480
Name:MICHAEL NATALE LLC
Entity type:Organization
Organization Name:MICHAEL NATALE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:NATALE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:856-667-2555
Mailing Address - Street 1:111 CHESTNUT STREET
Mailing Address - Street 2:UNIT 106
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08002-1842
Mailing Address - Country:US
Mailing Address - Phone:856-667-2555
Mailing Address - Fax:856-667-1312
Practice Address - Street 1:111 CHESTNUT ST
Practice Address - Street 2:UNIT 106
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08002-1842
Practice Address - Country:US
Practice Address - Phone:856-667-2555
Practice Address - Fax:856-667-1312
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-11
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & BehavioralGroup - Multi-Specialty