Joanne B Conway, EDD.

Individual provider Active NPI Clinical Psychologist · Glenside, PA

NPI 1922062447 · NPPES record last updated Jul 1, 2010

Key facts

NPI
1922062447
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
PS005753L (PA)
Practice address
432 N Easton Rd
Glenside, PA 19038-4903
Phone
(215) 885-4489
NPI assigned
Apr 13, 2006
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)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X PS005753L PA Yes

Addresses

Primary practice location

432 N Easton Rd
Glenside, PA 19038-4903

Mailing address

432 N Easton Rd
Glenside, PA 19038-4903
Phone (215) 885-4489

Other providers in Glenside, PA

All providers in Glenside, PA · Clinical Psychologist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.