Malys-Gordon, Julian Rae

Malys-Gordon, Julian Rae is an individual health care provider with primary practice located at 933 E Haverford Rd , Bryn Mawr PA 19010-3819. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Malys-Gordon, Julian Rae can be contacted via phone (484) 337-5329.

Contact Information

Primary practice address
933 E Haverford Rd Bryn Mawr PA 19010-3819
Phone: (484) 337-5329
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS019638 Pennsylvania
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1558850008
LBN Legal business name Malys-Gordon, Julian Rae
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2018
Last updated Jan 10th, 2024 - about 2 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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