Reesa Guller Wurtz, ED.D.

Individual provider Active NPI Psychologist · Spring House, PA

NPI 1114040482 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1114040482
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
PS-003858-L (PA)
Practice address
809 N. Bethlehem Pike
Spring House, PA 19477
Phone
(215) 643-7944
NPI assigned
Apr 9, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
PS-003858-LPAMDPsychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X PS-003858-L PA Yes

Addresses

Primary practice location

809 N. Bethlehem Pike
Spring House, PA 19477

Mailing address

41 Scarlet Oak Dr
Lafayette Hill, PA 19444-2420
Phone (610) 828-9684

Other providers in Spring House, PA

All providers in Spring House, PA · Psychologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.