Individual
MRS. MARILYN PEUQUET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
819 WAVERLY RD, KENNETT SQUARE, PA 19348-1452
(610) 444-5693
Mailing address
819 WAVERLY RD, KENNETT SQUARE, PA 19348-1452
(610) 444-5693
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005089L
PA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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