Organization
MAIN LINE PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENA SOLOMON PH.D. (CLINICAL DIRECTOR)
(610) 649-2956
Entity
Organization
Contact information
Practice address
300 E LANCASTER AVE STE 306B, WYNNEWOOD, PA 19096-2106
(610) 649-2956
Mailing address
1607 WINSTON RD, GLADWYNE, PA 19035-1251
(610) 649-2956
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-006305-L
PA
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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