Individual
TRICIA M. ANGILLETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LPC, ATR-BC
Contact information
Practice address
561 FAIRTHORNE AVE, PHILADELPHIA, PA 19128-2412
(215) 487-4196
Mailing address
16 HILLCREST AVE, COLLINGSWOOD, NJ 08108-1315
(856) 858-3402
(856) 547-9220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00335900
NJ
101YP2500X
Professional Counselor
PC008931
PA
103TC0700X
Clinical Psychologist
Primary
PS018106
PA
221700000X
Art Therapist
—
NJ
Other
Enumeration date
03/21/2007
Last updated
04/28/2021
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