MS. MARY THERESA REANEY


Address: 31 Bishop Hollow Rd, Newtown Square, PA 19073
Phone: 6103533139

MS. MARY THERESA REANEY (NPI# 1619193000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619193000
Entity Type Individual
Full Name MS. MARY THERESA REANEY
Credential RN MA LIC PSYCHOLOG
Practice Address 31 Bishop Hollow Rd
Newtown Square
PA 19073
Mailing Address 2900 Dogwood Lane
Broomall
PA 19008-1017
Practice Telephone 6103533139
Practice Fax Number 6103533139
Mailing Telephone 6103533139
Mailing Fax Number 6103533139
Enumeration Date 2007-04-17
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 103TP2701X Psychologist
Specialization: Group Psychotherapy
PS006708L PA Behavioral Health & Social Service Providers
X 163W00000X Registered Nurse RN236787L PA Nursing Service Providers

Office Location

Street Address 31 BISHOP HOLLOW RD
City NEWTOWN SQUARE
State PA
Zip Code 19073

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528265550 Sharon L Cuff Counselor 31 Bishop Hollow Rd, Newtown Square, PA 19073-3211 2007-07-02

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1467745810 Brittany Marie Brooks Student in an Organized Health Care Education/Training Program 3500 West Chester Pike, Newtowne Square, PA 19073 2011-05-18
1598066284 Samuel Disston Allen Jr. Urology 523 Guinevere Dr, New Town Square, PA 19073 2010-11-11
1700102688 Robert Francis Rogers Pathology 3805 W Chester Pike Ste 120, Newtown Square, PA 19073 2010-04-16
1184850521 Mary M Powell General Practice 3508 Tyson Rd., Newtown Sq, PA 19073 2009-05-29
1386888121 Sean Christopher Flynn Internal Medicine 4651 W Chester Pike Ste 200, Newtown Square, PA 19073 2009-04-23
1801031331 Linda Jane Bonsall Psychologist 2 Bishop Hollow Road, Newtown Square, PA 19073 2008-12-12
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Taxonomy Information

Taxonomy Code 103TP2701X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Group Psychotherapy

Taxonomy Definition

Definition to come...
Notes: [1/1/2007: modified title]

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Competitor

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City NEWTOWN SQUARE
Zip Code 19073

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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