Individual
DR. EDWARD J DICESARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1062 E LANCASTER AVE, SUITE 26A, BRYN MAWR, PA 19010-1552
(610) 527-4626
(610) 356-4697
Mailing address
1062 E LANCASTER AVE, SUITE 26A, BRYN MAWR, PA 19010-1552
(610) 527-4626
(610) 356-4697
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003659-L
PA
Other
Enumeration date
07/18/2007
Last updated
07/18/2007
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