Miner-Isaacson, Andrea Dale

Miner-Isaacson, Andrea Dale is an sole proprietor health care provider with primary practice located at 822 Montgomery Ave #301, Narberth PA 19072-1937. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Miner-Isaacson, Andrea Dale can be contacted via phone (610) 664-1424.

Contact Information

Primary practice address
822 Montgomery Ave #301 Narberth PA 19072-1937
Fax: (610) 664-1424
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PS005844L Pennsylvania

Profile Details

NPI number 1447381785
LBN Legal business name Miner-Isaacson, Andrea Dale
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 8th, 2007
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447381785 NPPES
Pennsylvania Other 0469820000 PERSONAL CHOICE

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