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General NPI Number Information
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NPI Number | 1245190495
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Entity Type | Organization
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Legal Business Name | DELAWARE COUNTY CENTER FOR PSYCHOLOGICAL SERVICES, LLC
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 525 W CHESTER PIKE STE 311B
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City | HAVERTOWN
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State | PA
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Zip | 19083-4510
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Country | US
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Telephone | 484-254-6371
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Fax |
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Provider Business Mailing Address
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Address Line | 531 FAIRFAX RD
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City | DREXEL HILL
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State | PA
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Zip | 19026-1210
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Country | US
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Telephone | 484-254-6371
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Fax |
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Authorized Official
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Title or Position | PSYCHOLOGIST
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Name | MARIELLE MARTINO MATHEWS
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Credential | PSYD
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Telephone | 610-613-2069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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