Individual
MARY LOU SCHACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
111 PRESIDENTIAL BLVD, SUITE 237, BALA CYNWYD, PA 19004-1008
(610) 667-8549
(610) 664-3749
Mailing address
111 PRESIDENTIAL BLVD, SUITE 237, BALA CYNWYD, PA 19004-1008
(610) 667-8549
(610) 664-3749
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-002366-L
PA
Other
Enumeration date
12/20/2007
Last updated
03/25/2010
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