Individual
BRUNO BROLL-BARONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 600-8449
(215) 745-6511
Mailing address
8220 CASTOR AVE, PHILADELPHIA, PA 19152-2729
(215) 600-8449
(215) 745-6511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS018099
PA
Other
Enumeration date
08/11/2016
Last updated
08/11/2016
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