Individual
LAURENCE JOSEPH SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
717 BETHLEHEM PIKE, GLENSIDE, PA 19038-8111
(610) 306-7666
Mailing address
309 WASHINGTON ST APT 1414, CONSHOHOCKEN, PA 19428-4908
(610) 306-7666
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
SP022768
PA
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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