Individual
DR. CAROL ANN RADICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
914 SAINT ANDREWS DR, MALVERN, PA 19355-3157
(610) 644-3394
Mailing address
914 SAINT ANDREWS DR, MALVERN, PA 19355-3157
(610) 644-3394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003945L
PA
103TA0700X
Adult Development & Aging Psychologist
PS003945L
PA
Other
Enumeration date
08/06/2007
Last updated
08/06/2007
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