Organization
DR SOPHIE LONGWILL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SOPHIE ARIEL LONGWILL PSYD (PSYCHOLOGIST)
(302) 438-7325
Entity
Organization
Contact information
Practice address
412 E KING ST, MALVERN, PA 19355-3004
(302) 438-7325
Mailing address
412 E KING ST, MALVERN, PA 19355-3004
(302) 438-7325
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017995
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1679931810
NPI 1 (INDIVIDUAL )
PA
Enumeration date
02/15/2017
Last updated
02/15/2017
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