Provider Demographics
NPI:1194915728
Name:WISE, ANN E (MED)
Entity type:Individual
Prefix:MRS
First Name:ANN
Middle Name:E
Last Name:WISE
Suffix:
Gender:F
Credentials:MED
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Mailing Address - Street 1:4 CORNERSTONE DR
Mailing Address - Street 2:FAMILY SERVICE ASSOCIATION OF BUCKS COUNTY
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047
Mailing Address - Country:US
Mailing Address - Phone:215-757-6916
Mailing Address - Fax:215-757-2115
Practice Address - Street 1:4 CORNERSTONE DR
Practice Address - Street 2:FAMILY SERVICE ASSOCIATION OF BUCKS COUNTY
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-757-6916
Practice Address - Fax:215-757-2115
Is Sole Proprietor?:No
Enumeration Date:2007-07-30
Last Update Date:2007-07-30
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health