Individual
SAMANTHA ROBIN WERTHEIMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD.
Contact information
Practice address
1202 ASH LANE, LEBANON, PA 17042-9626
(215) 792-2323
Mailing address
1202 ASH LANE, LEBANON, PA 17042-9626
(215) 792-2323
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019119
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS019119
—
103TF0000X
Family Psychologist
PS019119
—
Other
Enumeration date
08/19/2014
Last updated
10/27/2020
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