| Doctor Name: | DR. ANDREA DALE MINER-ISAACSON |
| NPI Number: | 1447381785 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD |
| License Number: | PS005844L |
| Business Practice Address: | 822 Montgomery Ave #301 Narberth, PA - 190721937 |
| Business Phone Number: | 6106641424 |
| Business Fax Number: | 6106641424 |
| Mailing Address: | 416 Heatherwood Rd, HAVERTOWN |
| State: | PA |
| Postal Code: | 190835539 |
| Phone Number: | 6104464981 |
| Fax Number: | 6104464298 |
| NPI Enumeration Date: | 03/08/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS005844L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |