Individual
DR. CLARIE-ANN HENRIQUES WOLLACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
233 E LANCASTER AVE STE 303, ARDMORE, PA 19003-2321
(610) 551-1819
Mailing address
1167 W BALTIMORE PIKE # 181, MEDIA, PA 19063-5127
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019450
PA
Other
Enumeration date
03/11/2022
Last updated
04/14/2022
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