Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. HEATHER ANNE TYRELL SOUDERS, D.O.
ActiveDR. HEATHER ANNE TYRELL SOUDERS, D.O. is a Developmental-Behavioral Pediatrics healthcare provider located in HAMILTON, New Jersey. NPI 1952530560 is currently active in the NPPES registry. Verify at CMS.
Developmental-Behavioral Pediatrics · HAMILTON, NJ
Registration Details
- NPI Number
- 1952530560
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 6, 2009 (17.123609309182 yrs)
- Last Updated
- Jan 19, 2022
- Licenses
-
010917 (OH)25MB09954500 (NJ)
Practice Information
- Address
-
3575 QUAKERBRIDGE RDHAMILTON, NJ, 086191271Browse NJ providers · Browse ZIP 08619
- Phone
- 8882445373
- Primary Specialty
-
Developmental-Behavioral Pediatrics
2080P0006X
- Additional Specialty
- Developmental-Behavioral Pediatrics
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.