Organization
MAIN LINE NEUROPSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BADGLEY PHD (CLINICAL PSYCHOLOGIST)
(610) 500-4700
Entity
Organization
Contact information
Practice address
101 LINDENWOOD DR, SUITE 225, MALVERN, PA 19355-1755
(610) 500-4700
Mailing address
101 LINDENWOOD DR STE 225, MALVERN, PA 19355-1762
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016840
PA
Other
Enumeration date
02/21/2013
Last updated
11/08/2013
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