Organization
MARILYN BERGMAN & JUDITH SHECHTER, PTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDITH SHECHTER PH.D (PARTNER)
(610) 642-2353
Entity
Organization
Contact information
Practice address
308 E LANCASTER AVE, SUITE 200, WYNNEWOOD, PA 19096-2145
(610) 642-2353
(610) 642-3278
Mailing address
308 E LANCASTER AVE, SUITE 200, WYNNEWOOD, PA 19096-2145
(610) 642-2353
(610) 642-3278
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
197408
MEDICARE PTAN
PA
Enumeration date
01/24/2007
Last updated
12/21/2011
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