Individual
ALYSSA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3550 MARKET ST, PHILADELPHIA, PA 19104-3329
(913) 626-9405
Mailing address
1001 S 46TH ST, PHILADELPHIA, PA 19143-3703
(913) 626-9405
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
09/09/2025
Last updated
09/09/2025
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