Individual
THERESA EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
323 E FRONT ST, MEDIA, PA 19063-3036
(267) 551-1984
Mailing address
230 SULKY WAY, CHADDS FORD, PA 19317-8908
(302) 893-2671
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019346
PA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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