Individual
DR. PATTEY LEEANNE FONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1062 E LANCASTER AVE, SUITE 12-A, BRYN MAWR, PA 19010-1552
(610) 526-9155
Mailing address
1062 E LANCASTER AVE, SUITE 12-A, BRYN MAWR, PA 19010-1552
(610) 526-9155
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-008132-L
PA
Other
Enumeration date
05/24/2007
Last updated
07/08/2007
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