MEDICARE: ANN L COLLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor
2	106H00000X	Marriage & Family Therapist	MF000977	PA

General Provider Information

NPI Number	:	1255848297
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANN L COLLEY

Provider Business Mailing Address
First Line	:	25 WASHINGTON LN STE 6A2
Second Line	:
City	:	WYNCOTE
State	:	PA
Zip	:	19095-1426
Country	:	US
Telephone Number	:	619-433-2573
Fax Number	:	773-632-0572

Provider Business Practice Location Address
First Line	:	25 WASHINGTON LN STE 6A2
Second Line	:
City	:	WYNCOTE
State	:	PA
Zip	:	19095-1426
Country	:	US
Telephone Number	:	619-433-2573
Fax Number	:	773-632-0572

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/29/2017
Last Update Date	:	01/22/2026

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Directions to “ ANN L COLLEY ” Practice Location

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