Individual provider · Type 1 NPI
Marissa Smale, MA, LPC, BCPC
Professional Counselor · Wyndmoor, PA
NPI number
1073984332
Active
Practice location
1103 Cromwell Rd
Wyndmoor, PA 19038-7421
Mailing address
345 E Broadway Ave
Clifton Heights, PA 19018-1725
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PC005300 (PA) |
Professional Counselor: Definition to come...
Another provider at this address
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- Trudy Gregson, LPCProfessional Counselor Wyndmoor, PA NPI 1679126957
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About NPI 1073984332
Marissa Smale, MA, LPC, BCPC's National Provider Identifier is 1073984332, issued on Oct 13, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Wyndmoor, PA. The record was last updated on Oct 13, 2015.