Individual
MARY ANN BLUMENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
107 CHESLEY DR STE 2, MEDIA, PA 19063-1760
(610) 529-1875
Mailing address
1358 BERWYN PAOLI RD, BERWYN, PA 19312-1860
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PS020450
PA
Other
Enumeration date
04/10/2025
Last updated
04/10/2025
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