Individual
DR. ROGER WILLIAM OSMUN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
30 S VALLEY RD STE 306, PAOLI, PA 19301-1476
(610) 536-6161
(610) 536-6161
Mailing address
1131 S SANATOGA RD, POTTSTOWN, PA 19465-8167
(610) 505-2494
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
03880
MD
103TC0700X
Clinical Psychologist
B1-0000522
DE
103TC0700X
Clinical Psychologist
Primary
PS008322L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01591123
—
PA
Enumeration date
04/19/2006
Last updated
11/09/2018
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