Individual
JENNIFER MAUTONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3440 MARKET ST, SUITE 200, PHILADELPHIA, PA 19104-3325
(215) 590-7555
(215) 590-7387
Mailing address
3440 MARKET ST, SUITE 410, PHILADELPHIA, PA 19104-3325
(215) 590-7532
(215) 590-4251
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016159
PA
Other
Enumeration date
07/10/2007
Last updated
09/04/2012
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