Individual
MARNIE SUE NUTKOWITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
60 TOWNSHIP LINE RD, MOSS REHAB, ELKINS PARK, PA 19027-2220
(215) 663-6000
Mailing address
101 E OLNEY AVE, SUITE 505, PHILA, PA 19120-2421
(215) 254-2630
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS015455
PA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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