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Individual

DR. COLLEEN DRISCOLL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1 PARK AVE FL 7, NEW YORK, NY 10016-5818
(646) 983-5197
Mailing address
1340 S 13TH ST APT 2A, PHILADELPHIA, PA 19147-4905

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TC0700X
Clinical Psychologist
024508
NY
103TC0700X
Clinical Psychologist
Primary
PS019844
PA

Other

Enumeration date
05/18/2021
Last updated
03/06/2023
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