Individual
DR. ANNE W TAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
9733 BUSTLETON AVE, SUITE 2N, PHILADELPHIA, PA 19115-3201
(215) 887-7616
Mailing address
1656 SUSQUEHANNA RD, RYDAL, PA 19046-1431
(215) 887-8188
(215) 887-9033
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS006053L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0510104000
PERSONAL CHOICE
PA
01
—
TA676609
HIGHMARK BLUE CROSS
PA
Enumeration date
12/25/2006
Last updated
07/08/2007
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