Individual
REAGAN WETHERILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2118 MONTROSE ST, PHILADELPHIA, PA 19146-2528
(619) 208-1956
Mailing address
2118 MONTROSE ST, PHILADELPHIA, PA 19146-2528
(619) 208-1956
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017306
PA
Other
Enumeration date
07/13/2009
Last updated
04/20/2017
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