Individual
CAROLYN TRUESDALE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3205 DEFENSE TER, PHILADELPHIA, PA 19129-1110
(215) 843-9729
(215) 843-7313
Mailing address
4700 WISSAHICKON AVE, SUITE 118 BOX 110, PHILADELPHIA, PA 19144-4248
(215) 298-0417
(215) 298-0502
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015386
PA
Other
Enumeration date
01/19/2006
Last updated
07/08/2007
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