Individual
DR. NANCY WZONTEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1315 WALNUT ST STE 1700, PHILADELPHIA, PA 19107-4717
(610) 595-4378
Mailing address
1315 WALNUT ST STE 1700, PHILADELPHIA, PA 19107-4717
(610) 595-4378
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS006188L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012030000001
—
PA
01
—
749192
BCBS
PA
Enumeration date
10/03/2006
Last updated
11/02/2021
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