Individual
DR. PATRICK RONALD GRECCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
7318 GERMANTOWN AVENUE, PHILADELPHIA, PA 19119
(215) 242-0900
(215) 242-0912
Mailing address
7318 GERMANTOWN AVE, PHILADELPHIA, PA 19119-1725
(215) 242-0900
(215) 242-0912
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004927L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR796827
MEDICARE ID
PA
Enumeration date
05/03/2006
Last updated
04/06/2015
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