Individual
CHLOE JAYNE HAAZ SICA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
390 COMMERCE DR STE 115, FORT WASHINGTON, PA 19034-2600
(215) 309-9155
Mailing address
390 COMMERCE DR STE 115, FORT WASHINGTON, PA 19034-2600
(215) 309-9155
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
022747
NY
103TC0700X
Clinical Psychologist
35SI00615200
NJ
103TC0700X
Clinical Psychologist
Primary
PS019576
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/20/2015
Last updated
03/21/2023
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