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Contact Information

MARY B LELWICA, PhD
208 SKYCREST DR
LANDENBERG, PA19350-9658
 Phone: 610-274-0641
 Fax: 610-274-0351
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY B LELWICA · (Female)

NPI Number 1124148960
Status Active
Credentials PhD
Entity Individual
Enumeration date 03/29/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PS004939L
  • PA Other 00004467874 AETNA
  • PA Other 11447341 CAQH
  • PA Other 0003720 COM. CARE BEHAVIORAL HEAL
  • PA Other 206413 COMPSYCH
  • PA Other V458L EMPIRE
  • PA Other 0332164000 IBC
  • PA Other 61-38877 UNITED BEHAVIORAL HEALTHC
  • PA Other 112680 VALUE OPTIONS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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