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Individual

SANDRA JEAN HART

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
255 SOUTH 17TH STREET #2708, THE MEDICAL TOWER BUILDING, PHILADELPHIA, PA 19103-6228
(215) 545-7207
(215) 735-2447
Mailing address
502 SOUTH 25TH STREET, PHILADELPHIA, PA 19146-1018
(215) 790-0665
(215) 735-2447

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS002198L
PA

Other

Enumeration date
05/05/2006
Last updated
09/11/2007
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