MARY LEE DEITCH

THE GROWTH AND RECOVERY CENTER INC.

Dr MARY LEE DEITCH is a female medical professional, specializing in Psychologist, Clinical. She graduated in 2005.

Contact

THE GROWTH AND RECOVERY CENTER INC.

452 GERMANTOWN PIKE
LAFAYETTE HILL
PA
194441805

Tel: 6108284298

MARY LEE DEITCH Information

Npi 1073987186
Pac Id 6608156914
Professional Enrollment Id I20161202000975
Last Name DEITCH
First Name MARY
Middle Name LEE
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2005
Primary Specialty PSYCHOLOGIST, CLINICAL
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name THE GROWTH AND RECOVERY CENTER INC.
Group Practice Pac Id 7214074681
Number Of Group Practice Members 3
Line 1 Street Address 452 GERMANTOWN PIKE
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LAFAYETTE HILL
State PA
Zip Code 194441805
Phone Number 6108284298
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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