Individual
ANTONELLA PONTORIERO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
6125 BROCKTON RD, HATBORO, PA 19040-3002
(732) 882-3613
Mailing address
6125 BROCKTON RD, HATBORO, PA 19040-3002
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019225
PA
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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