Individual
GLORIA J WAITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., M.F.T.
Contact information
Practice address
54 FRIENDS LN, SUITE 114, NEWTOWN, PA 18940-3403
(267) 566-2229
(215) 741-0977
Mailing address
54 FRIENDS LN, SUITE 114, NEWTOWN, PA 18940-3403
(267) 566-2229
(215) 741-0977
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-005607-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS-005607-L
PSYCHOLOGY LICENSE
PA
Enumeration date
04/22/2010
Last updated
04/22/2010
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