Individual
CHARLES L ZEIDERS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Contact information
Practice address
86 W EAGLE RD, HAVERTOWN, PA 19083-1425
(610) 853-9776
Mailing address
86 W EAGLE RD, HAVERTOWN, PA 19083-1425
(610) 853-9776
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008610L
PA
Other
Enumeration date
08/31/2005
Last updated
07/08/2007
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