Individual
THERESA TREVETHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1489 BALTIMORE PIKE, SUITE 250, SPRINGFIELD, PA 19064-3958
(610) 544-2110
(610) 446-3169
Mailing address
249 FOX RUN RD, KING OF PRUSSIA, PA 19406-2222
(610) 363-1488
(610) 363-8273
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017638
PA
Other
Enumeration date
11/01/2012
Last updated
08/28/2014
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