NPI Profile for MIRIAM WONNIE in FLEETWOOD, PA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical |
| NPI Number | 1235536244 |
|
| Status | Active | |
| Credentials | M ED.,BSL | |
| Entity | Individual | |
| Enumeration date | 11/20/2014 | |
| Last updated | 11/20/2014 - About 12 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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MIRIAM WONNIE
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