Individual
MS. MARILYN R POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
2200 BENJAMIN FRANKLIN PKWY, PARK TOWNE PLACE, EAST 105, PHILADELPHIA, PA 19130-3601
(215) 963-1095
(215) 827-5804
Mailing address
2200 BENJAMIN FRANKLIN PKWY, PARK TOWNE PLACE, EAST 105, PHILADELPHIA, PA 19130-3601
(215) 963-1095
(215) 827-5804
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004246L
PA
Other
Enumeration date
04/11/2007
Last updated
07/08/2007
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