Individual
DR. MARJORIE A WAXMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
28 GARRETT AVE, BRYN MAWR, PA 19010-1400
(610) 525-4227
Mailing address
28 GARRETT AVE, BRYN MAWR, PA 19010-1400
(610) 525-4227
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS006352-L
PA
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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