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Individual

MR. ROBERT JAMES DIGIACOMO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MA

Contact information

Practice address
1515 WEST CHESTER PIKE, STE D2, WEST CHESTER, PA 19382
(610) 692-2092
(610) 692-2863
Mailing address
1100 S CHESTER RD, WEST CHESTER, PA 19382
(610) 399-1726

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003402L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PS003402L
LICENSE NUMBER
PA
Enumeration date
01/30/2006
Last updated
07/08/2007
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