Individual
ANDREA E SYWULAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
928 JAYMOR ROAD, SUITE A 120, SOUTHAMPTON, PA 18966
(215) 355-8812
(215) 355-0926
Mailing address
928 JAYMOR ROAD, SUITE A 120, SOUTHAMPTON, PA 18966
(215) 355-8812
(215) 355-0926
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003501L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1295890846
NPI SYWULAK & WEISS PSYCH
PA
01
—
4616180
AETNA
PA
Enumeration date
05/08/2007
Last updated
07/09/2007
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