Individual
MARTHA WADSWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
314 MOORE BLDG, UNIVERSITY PARK, PA 16802-3103
(814) 865-2191
Mailing address
314 MOORE BLDG, UNIVERSITY PARK, PA 16802-3103
(814) 865-2191
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017855
PA
Other
Enumeration date
08/07/2018
Last updated
08/07/2018
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