Individual
DANIELLE DAVIS TRUCKSESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
112 BALA AVE, BALA CYNWYD, PA 19004-3025
(610) 667-6490
Mailing address
112 BALA AVE, BALA CYNWYD, PA 19004-3025
(610) 667-6490
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017062
PA
Other
Enumeration date
03/04/2008
Last updated
02/22/2013
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