Individual
DR. MARY DEITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
JD, PSY.D
Contact information
Practice address
1112 MACDADE BLVD, WOODLYN, PA 19094-1322
(610) 945-8021
Mailing address
1112 MACDADE BLVD, WOODLYN, PA 19094-1322
(610) 945-8021
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016151
PA
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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