Individual
ROBERT WLODARCZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
701 MAGEE AVE, PHILADELPHIA, PA 19111-4717
(215) 742-7616
Mailing address
701 MAGEE AVE, PHILADELPHIA, PA 19111-4717
(215) 742-7616
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-004122-L
PA
Other
Enumeration date
12/06/2016
Last updated
12/06/2016
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