Provider Information for 1871651893
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NANCY V FORREST PsyD
Sex: Female
NPI: 1871651893
Last Updated: 2007-07-08
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||||||
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| NPI | 1871651893 | ||||||||||||
| Enumeration Date | 2006-12-04 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 330 N ORANGE ST MEDIA, PA 19063-2308 United States Phone: 610-627-0111 | Fax:610-565-3972 | ||||||||||||
| Primary Practice Address | 412 W BALTIMORE AVE MEDIA, PA 19063-3602 United States Phone: 610-627-0111 | Fax:610-565-3972 | ||||||||||||
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