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Contact Information

MIRIAM WONNIE, M ED.,BSL
ONE WEST MAIN STREET
FLEETWOOD, PA19522
 Phone: 610-944-0445
 Fax: 610-944-1196
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MIRIAM WONNIE · (Female)

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
  • PA License # BH001706
  • PA Other 1083756902 CONCERN PROFESSIONAL SERVICES FOR CHILDREN , YOUTH, & FAMILIES
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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