Individual
GARY DEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6757 GREENE STREET, OFFICES AT SUMMIT PREBYTERIAN, PHILADELPHIA, PA 19119-3508
(267) 428-0321
(267) 907-8586
Mailing address
59 E PHIL ELLENA ST, PHILADELPHIA, PA 19119-2223
(267) 428-0321
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
PC007555
PA
Other
Enumeration date
12/12/2006
Last updated
08/09/2024
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