Individual
MARYAM BICKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
100 E LEHIGH AVE, TEMPLE EPISCOPAL CAMPUS, PHILADELPHIA, PA 19125-1012
(215) 707-8483
(215) 707-0726
Mailing address
100 E LEHIGH AVE, TEMPLE EPISCOPAL CAMPUS, PHILADELPHIA, PA 19125-1012
(215) 707-8483
(215) 707-0726
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
OS016050
PA
2084P0800X
Psychiatry Physician
OT012745
PA
Other
Enumeration date
06/30/2008
Last updated
08/18/2016
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