Cardell, Mona Camille
Cardell, Mona Camille is an sole proprietor health care provider with primary practice located at 1618 Rose Glen Rd , Havertown PA 19083-1810. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cardell, Mona Camille can be contacted via phone (610) 446-9625.Contact Information
Primary practice address
1618 Rose Glen Rd
Havertown PA 19083-1810
Phone: (610) 446-9625
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PS-005111-L | Pennsylvania |
Profile Details
NPI number | 1972505121 |
---|---|
LBN Legal business name | Cardell, Mona Camille |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 1st, 2005 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1972505121 | NPPES |
Pennsylvania | Other | 650004 | BLUE SHIELD |
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