Individual
DR. MADELINE CAROL DIPASQUALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1200 W TABOR RD, MOSSREHAB HOSPITAL-DRUCKER BRAIN INJURY CENTER, PHILADELPHIA, PA 19141-3019
(215) 456-9544
(215) 456-9579
Mailing address
1200 WEST TABOR ROAD, MOSSREHAB - DRUCKER BRAIN INJURY CENTER, PHILADELPHIA, PA 19104
(215) 456-9544
(215) 456-9579
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS008333L
PA
103T00000X
Psychologist
PS008333L
PA
103TC0700X
Clinical Psychologist
PS008333L
PA
Other
Enumeration date
05/10/2007
Last updated
08/28/2008
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