Individual
DR. MARK VINCENT VERSELLA JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1215 WHARTON ST, PHILADELPHIA, PA 19147-4509
(215) 948-2750
Mailing address
1215 WHARTON ST, PHILADELPHIA, PA 19147-4509
(215) 948-2750
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
35SI00687800
NJ
103TB0200X
Cognitive & Behavioral Psychologist
PS019662
PA
103TH0100X
Health Service Psychologist
35SI00687800
NJ
103TH0100X
Health Service Psychologist
PS019662
PA
Other
Enumeration date
08/22/2022
Last updated
07/21/2026
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