Individual
DR. JAMES JOSEPH PIASECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4700 WISSAHICKON AVE, SUITE 126, PHILADELPHIA, PA 19144-4248
(215) 951-0300
(215) 951-0313
Mailing address
737 LAUREL LN, WAYNE, PA 19087-2017
(610) 964-8165
(215) 951-0313
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS006020L
PA
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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