Individual
DR. SOPHIE A LONGWILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
412 E KING ST, MALVERN, PA 19355-3004
(302) 438-7325
(610) 251-5210
Mailing address
412 E KING ST, MALVERN, PA 19355-3004
(302) 438-7325
(610) 251-5210
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017995
PA
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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