Individual
DR. MICHELLE LOUISE WONDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
RT. 390, MOUNTAINHOME, PA 18326
(484) 942-9190
(570) 252-4058
Mailing address
PO BOX 427, NEWFOUNDLAND, PA 18445-0427
(484) 942-9190
(570) 252-4058
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS016717
PA
103TC0700X
Clinical Psychologist
PS016717
PA
Other
Enumeration date
02/25/2008
Last updated
09/12/2024
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