Individual
JENNIFER DEBERARDINIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
123 S BROAD ST STE 2240, PHILADELPHIA, PA 19109-1029
(267) 277-3119
Mailing address
1012 S CHADWICK ST, PHILADELPHIA, PA 19146-2008
(610) 256-3249
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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