Individual
RAYMOND CARVAJAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3535 MARKET STREET, 3RD FLOOR, PHILADELPHIA, PA 19104
(215) 746-7183
Mailing address
3535 MARKET STREET, 3RD FLOOR, PHILADELPHIA, PA 19104
(215) 746-7183
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017476
PA
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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