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Individual

DR. JONATHAN P VITRIOL

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PSYD

Contact information

Practice address
1016 MILL CREEK DR, FEASTERVILLE, PA 19053
(215) 396-9966
Mailing address
1016 MILL CREEK DR, FEASTERVILLE, PA 19053
(215) 396-9966

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
355100362300
NJ
103T00000X
Psychologist
Primary
PS003972L
PA

Other

Enumeration date
06/08/2006
Last updated
07/08/2007
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