Individual
DR. ANNE NOELLE NISENZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1528 WALNUT ST STE 1402, PHILADELPHIA, PA 19102
(267) 540-8583
Mailing address
11 SILVER HILL LN, VOORHEES, NJ 08043-4731
(609) 332-7530
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
25172
CA
103TC0700X
Clinical Psychologist
Primary
PS017791
PA
Other
Enumeration date
10/02/2012
Last updated
05/03/2019
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