Individual
DR. AVIELE MELISSA KOFFLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
201 E GERMANTOWN PIKE, PLYMOUTH MEETING, PA 19462-1550
(610) 834-1671
Mailing address
155 TIMOTHY CIR, RADNOR, PA 19087-4647
(215) 901-9512
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016756
PA
103TC0700X
Clinical Psychologist
PS016756
PA
103TS0200X
School Psychologist
PS016756
PA
Other
Enumeration date
03/14/2010
Last updated
03/14/2010
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