Individual
MRS. JOAN BACON SPRINGER
Active
Individual
MRS. JOAN BACON SPRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS 007690L
PA
103TC0700X
Clinical Psychologist
Primary
PS 007690L
PA
Other
Enumeration date
12/19/2007
Last updated
04/09/2008
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