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Organization

NEW LEAF PSYCHOTHERAPY SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KYLE FRANCIS WALSH PHD (PRESIDENT)
(215) 601-3223
Entity
Organization

Contact information

Practice address
504 LAKESIDE PARK, SOUTHAMPTON, PA 18966-4078
(215) 354-0777
Mailing address
504 LAKESIDE PARK, SOUTHAMPTON, PA 18966-4078
(215) 354-0777

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PC000060
PA

Other

Enumeration date
05/24/2012
Last updated
05/24/2012
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