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Individual

MS. RENEE JOANNA WHATLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.

Contact information

Practice address
3900 CITY AVE, PRESIDENTIAL-MADISON HOUSE, SUITE D-105, PHILADELPHIA, PA 19131-2908
(215) 472-6454
(215) 878-4622
Mailing address
3900 CITY AVE., PRESIDENTIAL-MADISON HOUSE, SUITE D-105, PHILADELPHIA, PA 19131
(215) 472-6454
(215) 878-4622

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS-005216-L
PA

Other

Enumeration date
09/06/2006
Last updated
07/08/2007
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