Individual
COLETTE MARIE GRAMSZLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3500 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4395
(610) 348-7722
Mailing address
2557 E LEHIGH AVE, PHILADELPHIA, PA 19125-3832
(610) 348-7722
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019441
PA
Other
Enumeration date
12/14/2021
Last updated
12/14/2021
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