Individual
DEBORAH ANN CHIUMENTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4190 CITY AVE, SUITE 100, PHILADELPHIA, PA 19131-1626
(215) 871-6628
(215) 871-6439
Mailing address
4190 CITY AVE, SUITE 777, PHILADELPHIA, PA 19131-1626
(215) 871-6910
(215) 871-6905
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016978
PA
Other
Enumeration date
10/24/2011
Last updated
10/24/2011
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