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Organization

BALA CHILD AND FAMILY ASSOCIATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHARLES WAYNE JONES PH.D. (GENERAL PARTNER)
(610) 668-1492
Entity
Organization

Contact information

Practice address
29 BALA AVE, SUITE 224, BALA CYNWYD, PA 19004-3209
(610) 668-1492
Mailing address
29 BALA AVE, SUITE 224, BALA CYNWYD, PA 19004-3209
(610) 668-1492

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
05/14/2007
Last updated
08/22/2020
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