Organization
NICOLE SESTITO, PH.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE SESTITO PH.D. (SOLE PRACTITIONER)
(610) 465-7312
Entity
Organization
Contact information
Practice address
13 W THIRD ST, MEDIA, PA 19063-2803
(610) 465-7312
Mailing address
13 W THIRD ST, MEDIA, PA 19063-2803
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS017428
PA
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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