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Individual

DR. GARY HARMON SEIDENBERG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
ED D

Contact information

Practice address
7901 BUSTLETON AVE, SUITE 12, PHILADELPHIA, PA 19152-3328
(215) 332-1164
Mailing address
9981 WISTARIA ST, PHILADELPHIA, PA 19115-1721
(215) 673-4263

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS003691L
PA

Other

Enumeration date
08/22/2005
Last updated
07/08/2007
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