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Individual

DR. ALISON NIBLICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
4011 SCHAEFFER DR, WALNUTPORT, PA 18088-9593
(484) 714-0376
Mailing address
4011 SCHAEFFER DR, WALNUTPORT, PA 18088-9593
(484) 714-0376

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
164819
KY
103TC0700X
Clinical Psychologist
Primary
PS01958
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
104004010-0001
PA
Enumeration date
04/24/2014
Last updated
01/01/2025
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