Individual
KRYSTAL GAMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4040 MARKET ST STE 120, PHILADELPHIA, PA 19104-3003
(215) 895-5512
Mailing address
4040 MARKET ST STE 120, PHILADELPHIA, PA 19104-3003
(215) 895-5512
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018539
PA
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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