Individual
DR. JOSEPH WIELICZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
513 GAYLE DR, YARDLEY, PA 19067-5620
(215) 321-0656
Mailing address
513 GAYLE DR, YARDLEY, PA 19067-5620
(215) 321-0656
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008404L
PA
Other
Enumeration date
05/07/2007
Last updated
07/08/2007
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