Individual
MS. NANCY TIENKEN CASELLA I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M ED.
Contact information
Practice address
1445 CITY AVE, SUITE 4B, WYNNEWOOD, PA 19096-3831
(610) 642-5328
(610) 623-3877
Mailing address
1445 CITY AVE, SUITE 4B, WYNNEWOOD, PA 19096-3831
(610) 642-5328
(610) 623-3877
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-001241-L
PA
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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