Most Relevant Information
Provider Data
| NPI Number: | 1003483173 |
| Provider Name: | CASSANDRA KATHRYN WAYSON GERGELY |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/08/2021 |
| Last Updated: | 06/08/2021 |
Provider Practice Location
301 W 15TH ST
CHESTER
PA
190135300
Practice Location Phone/Fax
| Phone: | 6106198799 |
| Fax: |
Provider Mailing Location
1216 N 5TH ST APT 23
PHILADELPHIA
PA
191224472
Provider Mailing Phone/Fax
| Phone: | 4106101558 |
| Fax: |