Deitch, Phyllis C

Deitch, Phyllis C is an individual health care provider with primary practice located at 234 Bryn Mawr Ave Suite #202, Bryn Mawr PA 19010. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Deitch, Phyllis C can be contacted via phone (610) 812-4983.

Contact Information

Primary practice address
234 Bryn Mawr Ave Suite #202 Bryn Mawr PA 19010
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X PS005620L Pennsylvania

Profile Details

NPI number 1528160967
LBN Legal business name Deitch, Phyllis C
Credentials MA MFT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528160967 NPPES
Pennsylvania Other DE608689 BS

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