Individual
NOEL BRUNO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
850 N 11TH ST, PHILADELPHIA, PA 19123-1957
(215) 769-1100
Mailing address
4700 WISSAHICKON AVE, SUITE 118 BOX 110, PHILADELPHIA, PA 19144-4248
(215) 298-0417
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS015472
PA
Other
Enumeration date
01/23/2006
Last updated
07/08/2007
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