Individual
MR. MICHAEL ANDREW VISKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
938 PENN AVE, WYOMISSING, PA 19610-3017
(610) 372-0466
Mailing address
202 JOHN GLENN AVE, SHILLINGTON, PA 19607-2940
(610) 775-3994
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004737L
PA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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