Individual
JOANNE B CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD.
Contact information
Practice address
432 N EASTON RD, GLENSIDE, PA 19038-4903
(215) 885-4489
Mailing address
432 N EASTON RD, GLENSIDE, PA 19038-4903
(215) 885-4489
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005753L
PA
Other
Enumeration date
04/13/2006
Last updated
07/01/2010
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