Individual
MICHELLE NEWDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
928 MARKET ST, PHILADELPHIA, PA 19107-4226
(215) 923-4202
(214) 923-4751
Mailing address
5 DALE LN, MALVERN, PA 19355-1203
(215) 353-7585
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC007535
PA
Other
Enumeration date
11/05/2015
Last updated
11/05/2015
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