DOMENICA M KNUDSEN

MEDIA, PA
NPI1336109230
Other NameDONNA M KNUDSEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: PA  PS008547L)
Additional Taxonomies103TC0700X Psychologist, Clinical
(Licence: DE  B1-0000679)
Enumeration Date2006-03-24
Last Update Date2011-06-07
Business Address
-- DOMENICA M KNUDSEN
280 N PROVIDENCE RD
MEDIA, PA 19063-3527
Phone number: 610-565-6843
Mailing Address
-- DOMENICA M KNUDSEN
280 N PROVIDENCE RD
MEDIA, PA 19063-3527
Phone number: 610-565-6843