Individual
ANDREA MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
734 SCHUYLKILL AVE, PHILADELPHIA, PA 19146-2300
(267) 521-3048
Mailing address
734 SCHUYLKILL AVE, PHILADELPHIA, PA 19146-2300
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
39286
TX
103T00000X
Psychologist
Primary
PS019823
PA
Other
Enumeration date
11/01/2022
Last updated
02/14/2023
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