Provider Demographics
NPI:1457845372
Name:MANDEL, ABBY ADLER (PHD)
Entity Type:Individual
Prefix:DR
First Name:ABBY
Middle Name:ADLER
Last Name:MANDEL
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 WYNDMOOR RD
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-2327
Mailing Address - Country:US
Mailing Address - Phone:301-806-1235
Mailing Address - Fax:
Practice Address - Street 1:1062 E LANCASTER AVE STE 24
Practice Address - Street 2:
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1567
Practice Address - Country:US
Practice Address - Phone:484-380-5959
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-15
Last Update Date:2018-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS017770103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical