Individual
DR. PAULINA SYRACUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
63 W LANCASTER AVE STE 5, ARDMORE, PA 19003-1413
(610) 645-5311
Mailing address
6725 RIDGE AVE APT 411, PHILADELPHIA, PA 19128-2442
(973) 934-1788
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/19/2022
Last updated
12/30/2024
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