Individual
JANE CHRISTINA WIDSETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
14 S BRYN MAWR AVE, SUITE 204, BRYN MAWR, PA 19010-3216
(610) 687-6385
(610) 896-2969
Mailing address
14 S BRYN MAWR AVE, SUITE 204, BRYN MAWR, PA 19010-3216
(610) 687-6385
(610) 896-2969
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PA 01909L
PA
103TC1900X
Counseling Psychologist
PA 01909L
PA
Other
Enumeration date
06/30/2008
Last updated
06/30/2008
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