Individual
KELLY BRYNN IACOBACCI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
983 OLD EAGLE SCHOOL RD, SUITE 611, WAYNE, PA 19087-1711
(610) 630-1192
Mailing address
2012 DAVIS DR, NORRISTOWN, PA 19403-2850
(610) 630-1192
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/08/2011
Last updated
12/08/2011
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