Individual
MARIANNE E. INTOCCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
426 PENNSYLVANIA AVE., SUITE 101, FORT WASHINGTON, PA 19034
(215) 628-3440
Mailing address
588 FAWNVIEW CIRCLE, BLUE BELL, PA 19422-1386
(215) 661-1213
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004932L
PA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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