Organization
DONNA RADL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA M. RADL PH.D. (CLINICAL DIRECTOR)
(610) 368-1090
Entity
Organization
Contact information
Practice address
5 GREAT VALLEY PKWY, MALVERN, PA 19355-1426
(610) 368-1090
Mailing address
5 GREAT VALLEY PKWY, MALVERN, PA 19355-1426
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC004872
PA
Other
Enumeration date
09/03/2015
Last updated
09/03/2015
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