Individual provider · NPI-1
Dr. Fathy Sharaf Abdalla, Ph.D, NCPsyA
Psychoanalyst · Teaneck, NJ
NPI number1770927816
StatusActive
Last updated in NPPESMay 15, 2013
Details
- NPI
- 1770927816
- Entity type
- Individual (NPI-1)
- Name
- Dr. Fathy Sharaf Abdalla
- Credential
- Ph.D, NCPsyA
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2013
- Last updated
- May 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 102L00000X | Psychoanalyst | 098.0090538 | VT | Yes |
Other names
- Fathy M Abdalla (Other Name)
Practice location
121 Cedar LnSuite 3-B
Teaneck, NJ 07666-4457
Phone 862-812-0647 · Fax 201-836-3902
Mailing address
121 Cedar LnSuite 3-B
Teaneck, NJ 07666-4457
Phone 862-812-0647 · Fax 201-836-3902
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