Individual
ANALIESE MARIA EISENHAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
524 N PROVIDENCE RD, MEDIA, PA 19063-3056
(484) 440-9416
Mailing address
7358 VALLEY AVE, PHILADELPHIA, PA 19128-3222
(570) 578-2129
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
12/27/2024
Last updated
12/27/2024
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