Individual
PETER G. AUBUCHON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1 BALA AVE, SUITE 230, BALA CYNWYD, PA 19004-3212
(610) 667-6055
(610) 667-5026
Mailing address
1 BALA AVE, SUITE 230, BALA CYNWYD, PA 19004-3212
(610) 667-6055
(610) 667-5026
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005094L
PA
Other
Enumeration date
08/10/2007
Last updated
08/10/2007
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