Individual
LINDSEY FORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRS
Contact information
Practice address
300 W BALTIMORE AVE, MEDIA, PA 19063-3683
(855) 687-2410
Mailing address
300 W BALTIMORE AVE, MEDIA, PA 19063-3683
(855) 687-2410
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
04/26/2022
Last updated
04/26/2022
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