Individual
DR. DOLORES R MARCHESANO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DSW LICENSED PSYCHOL
Contact information
Practice address
426 PENNSYLVANIA AVENUE, SUITE 201, FORT WASHINGTON, PA 19034-3410
(610) 519-0113
Mailing address
219 SUGARTOWN ROAD, UNIT H301, WAYNE, PA 19087-3041
(610) 688-6224
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008147L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0606079
AETNA
—
01
—
796832
BLUE CROSS BLUE SHIELD
—
Enumeration date
05/15/2006
Last updated
07/08/2007
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