Individual
BETH GILMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYCHOLOGIST
Contact information
Practice address
631 WYNMILL PL, PHILADELPHIA, PA 19115-1801
(215) 677-5332
Mailing address
631 WYNMILL PL, PHILADELPHIA, PA 19115-1801
(215) 677-5332
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-004791-L
PA
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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