Individual
MADELINE LOURDES VANDEVERE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1171 LANCASTER AVE STE 100, BERWYN, PA 19312-2602
(484) 674-6325
Mailing address
1171 LANCASTER AVE STE 100, BERWYN, PA 19312-2602
(484) 674-6325
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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