Individual
DR. HEATHER M NISSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
61 E MAIN ST, LEOLA, PA 17540-1954
(717) 556-0425
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS016290
PA
Other
Enumeration date
09/11/2007
Last updated
04/15/2021
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