Individual
TAISIER ELESSAWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
940 CHESTER PIKE, SHARON HILL, PA 19079-1413
(610) 312-4733
Mailing address
640 SOUTH AVE APT K10, SECANE, PA 19018-4623
(732) 522-0414
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018846
PA
Other
Enumeration date
09/23/2019
Last updated
09/23/2019
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