Individual
FRANCES MICHELLE ENNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1029 S 60TH ST, PHILADELPHIA, PA 19143-2342
(215) 668-1393
Mailing address
1029 S 60TH ST, PHILADELPHIA, PA 19143-2342
(215) 668-1393
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019015
PA
Other
Enumeration date
11/17/2011
Last updated
07/13/2020
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