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Individual

DR. JANICE E CUNNINGHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
6 DANFORTH DRIVE, EASTON, PA 18045-7899
(610) 252-5550
(610) 515-6457
Mailing address
6 DANFORTH RD, EASTON, PA 18045-7899
(610) 252-5550
(610) 515-6457

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015634
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS015634
PSYCHOLOGY LICENSE
PA
Enumeration date
04/19/2006
Last updated
11/16/2011
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