Individual
DR. CAROL A. GANTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
29 BALA AVE, SUITE 224, BALA CYNWYD, PA 19004-3209
(610) 667-7280
(610) 667-7141
Mailing address
29 BALA AVE, SUITE 224, BALA CYNWYD, PA 19004-3209
(610) 667-7280
(610) 667-7141
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS002422L
PA
Other
Enumeration date
01/23/2006
Last updated
07/09/2007
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