Individual
DIANA WINDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
475 SPRING LN, PHILADELPHIA, PA 19128-3918
(215) 482-5353
Mailing address
300 E EVANS ST APT L150, WEST CHESTER, PA 19380-2747
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20-0962249
BEHAVIORAL HEALTH
PA
Enumeration date
03/02/2016
Last updated
03/02/2016
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