Individual
DR. TACIE LEE VERGARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
8200 FLOURTOWN AVE FRNT 1A, WYNDMOOR, PA 19038-7969
(215) 948-3858
(215) 842-2955
Mailing address
280 W HAINES ST, PHILADELPHIA, PA 19144-3319
(215) 680-2365
(215) 842-2955
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS015770
PA
Other
Enumeration date
03/26/2007
Last updated
06/30/2025
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