Individual
DR. AVIVA SHARON GASKILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD.
Contact information
Practice address
308 EAST LANCAST AVE, SUITE 200, WYNNEWOOD, PA 19096
(800) 275-3243
Mailing address
308 EAST LANCAST AVE,, SUITE 200, WYNNEWOOD, PA 19096
(800) 275-3243
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
019817
NY
103TC0700X
Clinical Psychologist
Primary
PS018199
PA
Other
Enumeration date
10/05/2012
Last updated
02/03/2017
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