Mandy Desrosiers

NPI 1912364001 · on the registry since 2016

Practice

Address: 1200 Callowhill St Ste 101
Philadelphia, PA 19123
Phone: (215) 825-8212
Fax: (215) 825-8254
Organisation at this address: Public Health Management Corp
Public Health Managment Corporation
Philadelphia Health Management Corp
Public Health Management Corporation
Forensic Family Therapy Treatment Program
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 34

Registry record

Primary taxonomy: 171M00000X
171M00000X
Licence states on file: PA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2016-01-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Pennsylvania