Individual
DR. MARCIE WEINER PORTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1062 LANCASTER AVE., SUITE 2, ROSEMONT, PA 19010
(610) 525-7527
(610) 525-3997
Mailing address
1062 LANCASTER AVE., SUITE 2, ROSEMONT, PA 19010
(610) 525-7527
(610) 525-3997
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004978-L
PA
Other
Enumeration date
04/08/2009
Last updated
04/08/2009
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