Provider Demographics
NPI:1881623791
Name:LAZAR, MARY FRANCES I (PSYD)
Entity type:Individual
Prefix:DR
First Name:MARY
Middle Name:FRANCES
Last Name:LAZAR
Suffix:I
Gender:F
Credentials:PSYD
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Mailing Address - Street 1:NEUROPSYCHOLOGY ASSESSMENT CENTER AT WIDENER UNIVERSITY
Mailing Address - Street 2:ONE UNIVERSITY PLACE
Mailing Address - City:CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19013-5792
Mailing Address - Country:US
Mailing Address - Phone:610-499-4560
Mailing Address - Fax:610-499-4649
Practice Address - Street 1:NEUROPSYCHOLOGY ASSESSMENT CENTER AT WIDENER UNIVERSITY
Practice Address - Street 2:ONE UNIVERSITY PLACE
Practice Address - City:CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19013-5792
Practice Address - Country:US
Practice Address - Phone:610-499-4560
Practice Address - Fax:610-499-4649
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
PAPS006421L103G00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical