Individual
ELISABETTA AMBRON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
255 S 17TH ST, PHILADELPHIA, PA 19103-6231
(484) 280-5561
Mailing address
255 S 17TH ST, PHILADELPHIA, PA 19103-6231
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS020076
PA
103T00000X
Psychologist
—
—
Other
Enumeration date
03/07/2024
Last updated
10/17/2024
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