Individual
SHEILA GLADSTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED.
Contact information
Practice address
1601 WALNUT ST, SUITE 806, PHILADELPHIA, PA 19102-2944
(215) 331-3200
(215) 331-3977
Mailing address
292 MELROSE RD, MERION STATION, PA 19066-1716
(610) 667-4191
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005260L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4058912000
MAGELLAN
PA
Enumeration date
03/28/2007
Last updated
07/08/2007
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