Individual
DR. HEATHER M. PEDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1880 JOHN F KENNEDY BLVD FL18, PHILADELPHIA, PA 19103
(215) 575-9140
Mailing address
1880 JOHN F KENNEDY BLVD FL18, PHILADELPHIA, PA 19103
(215) 575-9140
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
7057
OH
103T00000X
Psychologist
Primary
PS017887
PA
Other
Enumeration date
09/23/2009
Last updated
08/18/2015
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