Individual
DR. ILENE M DYLLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1315 WALNUT ST STE 801, PHILADELPHIA, PA 19107-4719
(215) 546-5110
Mailing address
1315 WALNUT ST STE 801, PHILADELPHIA, PA 19107-4719
(215) 546-5110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015559
PA
Other
Enumeration date
07/15/2006
Last updated
07/03/2013
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