Individual
DR. ANDREW R. VOGELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1601 WALNUT ST, SUITE 1128, PHILADELPHIA, PA 19102-2944
(215) 567-3638
(215) 567-5572
Mailing address
1601 WALNUT ST, SUITE 1128, PHILADELPHIA, PA 19102-2944
(215) 567-3638
(215) 567-5572
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PSOO2059L
PA
103TC0700X
Clinical Psychologist
Primary
PS002059L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0062748000
PERSONAL CHOICE
PA
01
—
4575442
AETNA
PA
01
—
460554000
MAGELLAN HEALTH SERVICES
PA
Enumeration date
12/19/2006
Last updated
03/24/2014
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