Individual
NINA KASSER SIDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1601 HEARD DR, MAPLE GLEN, PA 19002-3163
(215) 628-0282
Mailing address
1601 HEARD DR, MAPLE GLEN, PA 19002-3163
(215) 628-0282
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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