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Individual

LORETTA MESTISHEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYD

Contact information

Practice address
1311 E NORWEGIAN ST, POTTSVILLE, PA 17901-3823
(570) 617-8452
Mailing address
1211 POTTSVILLE ST, POTTSVILLE, PA 17901-3842
(570) 617-8452

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018893
PA

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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