Individual
DR. NICOLE MOWBRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
6 NEWBERRY CT, GLEN MILLS, PA 19342-9524
(610) 764-7899
Mailing address
6 NEWBERRY CT, GLEN MILLS, PA 19342-9524
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019273
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS019273
LICENSE
PA
Enumeration date
08/02/2021
Last updated
08/02/2021
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