Individual
JOELY ESPOSITO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1528 WALNUT ST, SUITE 1500, PHILADELPHIA, PA 19102-3604
(215) 735-2505
(215) 735-2504
Mailing address
PO BOX 359, FURLONG, PA 18925-0359
(215) 735-2505
(215) 735-2504
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008878L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS008878L
PA STATE LICENSE NUMBER
PA
Enumeration date
11/20/2006
Last updated
09/14/2009
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