Individual
DR. JUDY IWENS EIDELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1 BALA AVE, SUITE 125, BALA CYNWYD, PA 19004-3212
(610) 667-7137
(610) 667-7141
Mailing address
413 PEMBROKE RD, BALA CYNWYD, PA 19004-2724
(610) 668-4684
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-004168-L
PA
Other
Enumeration date
05/10/2006
Last updated
10/20/2010
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