Dr. Nedra Fetterman, Ph.D.
Psychologist, Clinical in Ardmore, PA. Individual provider (NPI-1).
NPI number1942537337
StatusActive
Last updated in NPPESNov 6, 2009
Details
- NPI
- 1942537337
- Entity type
- Individual (NPI-1)
- Name
- Dr. Nedra Fetterman
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 6, 2009
- Last updated
- Nov 6, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PS006250L | PA | Yes |
Practice location
119 Coulter AveSuite 202
Ardmore, PA 19003-2427
Phone 610-896-0800
Mailing address
119 Coulter AveSuite 202
Ardmore, PA 19003-2427
Phone 610-896-0800
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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