Individual
DR. MOLLY SUZANNE MAZAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(814) 272-7100
Mailing address
PO BOX 774, LEMONT, PA 16851-0774
(609) 941-1646
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS019964
PA
103TS0200X
School Psychologist
9821716
PA
Other
Enumeration date
08/16/2023
Last updated
08/16/2023
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