Organization
GREGORY J ESTADT PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY J ESTADT PHD (OWNER)
(267) 304-3414
Entity
Organization
Contact information
Practice address
331 W STATE ST, MEDIA, PA 19063-2615
(267) 304-3414
Mailing address
2926 S 15TH ST, PHILADELPHIA, PA 19145-4917
(267) 304-3414
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016426
PA
Other
Enumeration date
05/27/2011
Last updated
05/27/2011
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