Individual
PHILLIP TENAGLIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
928 JAYMOR RD STE B-150, SOUTHAMPTON, PA 18966-3853
(215) 947-8654
(215) 938-7607
Mailing address
2910 FRANKS RD, SUITE 1, HUNTINGDON VALLEY, PA 19006-4215
(215) 947-8654
(215) 938-7607
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS008045L
PA
Other
Enumeration date
07/01/2006
Last updated
08/05/2025
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