Individual
DR. JAMES R BLEIBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
950 E HAVERFORD RD, SUITE 300, BRYN MAWR, PA 19010-3850
(610) 416-4806
Mailing address
1600 POWDER MILL LN, WYNNEWOOD, PA 19096-2617
(610) 416-4806
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS009061L
PA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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