Individual
JAN AMBOYER WOOLISCROFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
201B WATERFORD ST, EDINBORO, PA 16412-2226
(814) 734-7094
(814) 734-3080
Mailing address
201B WATERFORD ST, EDINBORO, PA 16412-2226
(814) 734-7094
(814) 734-3080
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS005713L
PA
Other
Enumeration date
05/21/2007
Last updated
07/09/2007
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