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Individual

DR. CAROL ANNE MCNELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
390 E BOOT RD, WEST CHESTER, PA 19380-1222
(610) 431-8160
(610) 431-8105
Mailing address
390 E BOOT RD, WEST CHESTER, PA 19380-1222
(610) 431-8160
(610) 431-8105

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004828L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1124189386
PA
Enumeration date
07/17/2017
Last updated
07/21/2022
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