Individual
STACI HEINDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1029 WYNDON AVE, BRYN MAWR, PA 19010-2823
(610) 527-5090
Mailing address
15 W GOWEN AVE, PHILADELPHIA, PA 19119-1645
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/22/2007
Last updated
07/08/2007
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