Individual
DR. PHILLIP JOSEPH MIRAGLIA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
105 SIBLEY AVE, ARDMORE, PA 19003-2311
(610) 649-8733
Mailing address
46 LONGVIEW LN, NEWTOWN SQUARE, PA 19073-1041
(610) 695-8766
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS002600-L
PA
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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