Organization
SHOSHANA TWERSKY PSYD LLC
Active
Organization
SHOSHANA TWERSKY PSYD LLC
Active
Parent organization
SHOSHANA TWERSKY PSYD LLC
Other names
Shoshana Twersky PsyD LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SHOSHANA TWERSKY PSYD LLC
Authorized official
SHOSHANA TWERSKY (OWNER/LICENSED CLINICAL PSYCHOLOGIS)
(978) 697-1257
Entity
Organization
Contact information
Practice address
2 BALA PLZ STE PL13, BALA CYNWYD, PA 19004-1506
(978) 697-1257
(610) 667-2608
Mailing address
2 BALA PLZ STE PL13, BALA CYNWYD, PA 19004-1506
(978) 697-1257
(610) 667-2608
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005878504
HIGHMARK BLUE SHIELD VENDOR ID
PA
Enumeration date
08/26/2024
Last updated
08/27/2024
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