Individual
DR. ANDREA KOBAN PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
221 N OLIVE ST, MEDIA, PA 19063-3250
(215) 901-3160
Mailing address
221 N OLIVE ST, MEDIA, PA 19063-3250
(215) 901-3160
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS009059L
PA
Other
Enumeration date
09/09/2022
Last updated
09/09/2022
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