Provider Demographics
NPI:1669541132
Name:NEEDLEMAN, ANNE F (LIC PSYCHOLOGIST PA)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:F
Last Name:NEEDLEMAN
Suffix:
Gender:F
Credentials:LIC PSYCHOLOGIST PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:90 W AFTON AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:YARDLEY
Mailing Address - State:PA
Mailing Address - Zip Code:19067
Mailing Address - Country:US
Mailing Address - Phone:215-321-8822
Mailing Address - Fax:215-321-8822
Practice Address - Street 1:90 W AFTON AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:YARDLEY
Practice Address - State:PA
Practice Address - Zip Code:19067
Practice Address - Country:US
Practice Address - Phone:215-321-8822
Practice Address - Fax:215-321-8822
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS007145L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA88938OtherHIGHMARK BLUE
PA0719651000OtherPERSONAL CHOICE