Provider Demographics
NPI:1568470458
Name:REPPLIER, ANN DEWEES (PHD)
Entity Type:Individual
Prefix:
First Name:ANN
Middle Name:DEWEES
Last Name:REPPLIER
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 1:110 DURHAM CT
Mailing Address - Street 2:
Mailing Address - City:MAPLE GLEN
Mailing Address - State:PA
Mailing Address - Zip Code:19002-2853
Mailing Address - Country:US
Mailing Address - Phone:215-643-3080
Mailing Address - Fax:215-643-2770
Practice Address - Street 1:110 DURHAM CT
Practice Address - Street 2:
Practice Address - City:MAPLE GLEN
Practice Address - State:PA
Practice Address - Zip Code:19002-2853
Practice Address - Country:US
Practice Address - Phone:215-643-3080
Practice Address - Fax:215-643-2770
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-04
Last Update Date:2016-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS003949L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001526591000519Medicaid
PA1568470458Medicare NSC