Organization
FIT-MINDED, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NORA J JOHNSON PSYD (AUTHORIZED OFFICIAL)
(610) 716-8630
Entity
Organization
Contact information
Practice address
101 FORREST AVE, NARBERTH, PA 19072-2213
(610) 716-8630
Mailing address
108 FORREST AVE APT 4, NARBERTH, PA 19072-2213
(610) 716-8630
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
04/10/2020
Last updated
04/10/2020
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