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Individual

DR. CELESTE FRANCES DEBEASE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
144 ASHLAND AVE, BALA CYNWYD, PA 19004-1902
(610) 660-0443
Mailing address
144 ASHLAND AVE, BALA CYNWYD, PA 19004-1902
(610) 660-0443

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-005760-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
016883-48
PA
01
649348
BLUE SHIELD
PA
01
834196
KEYSTONE HPE
PA
Enumeration date
01/20/2006
Last updated
11/15/2011
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