Individual
EMILY ANNE LAVALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
500 ORCHARD AVE, KENNETT SQUARE, PA 19348-1812
(484) 748-4881
Mailing address
500 ORCHARD AVE, KENNETT SQUARE, PA 19348-1812
(814) 502-9400
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS020187
PA
Other
Enumeration date
07/07/2022
Last updated
06/18/2024
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