Individual
CONOR MACGREGOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
255 S 17TH ST STE 1010, PHILADELPHIA, PA 19103-6210
(267) 857-4130
Mailing address
3272 BELGRADE ST, PHILADELPHIA, PA 19134-5237
(847) 323-3873
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PSO18957
PA
Other
Enumeration date
08/30/2016
Last updated
01/14/2025
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