Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS005445L | PA |
Y | 103T00000X | Psychologist | PS005445L | PA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | PS005445L | PA |
NPI | 1205816907 |
---|---|
Provider Name | Dr. John M. Uveges |
First Address | Wilmington, DE 19805-7170 |
Second Address | Cherry Hill, NJ 08034-2755 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 05/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
S64862 | (02) |