Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | PS015073 | PA |
Y | 103T00000X | Psychologist | PS015073 | PA |
NPI | 1013084235 |
---|---|
Provider Name | Dr. Deborah Anne Ledley |
First Address | Narberth, PA 19072-1333 |
Second Address | Plymouth Meeting, PA 19462-1946 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/11/2006 |
Last Update Date | 08/07/2007 |