MYLISSA MARY SLANE

PHILADELPHIA, PA
NPI1932753035
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy103TS0200X Psychologist, School
Additional Taxonomies103TC2200X Psychologist, Clinical Child & Adolescent
Enumeration Date2019-07-26
Last Update Date2023-01-19
Business Address
MYLISSA MARY SLANE PhD
2801 GRANT AVE
PHILADELPHIA, PA 19114-1032
Phone number: 215-878-3400
Mailing Address
MYLISSA MARY SLANE PhD
734 CHERYL DR
WARMINSTER, PA 18974-2135
Phone number: 215-817-6849