Individual
DR. THERESA C. MCMAHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
430 FAIRMOUNT AVE APT 501, PHILADELPHIA, PA 19123-2869
(516) 313-0895
Mailing address
430 FAIRMOUNT AVE APT 501, PHILADELPHIA, PA 19123-2869
(516) 313-0895
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS019552
PA
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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