Individual
MS. SUSAN EILEEN WORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1120 EASTON RD, SUITE ONE, WILLOW GROVE, PA 19090-1922
(215) 830-8430
(215) 830-8432
Mailing address
1120 EASTON RD, SUITE ONE, WILLOW GROVE, PA 19090-1922
(215) 830-8430
(215) 830-8432
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003702-L
PA
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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