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Individual

DR. ALEXA BONACQUISTI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
1420 COLONIAL DR, GARNET VALLEY, PA 19060-2117
(267) 667-7011
Mailing address
1420 COLONIAL DR, GARNET VALLEY, PA 19060-2117
(610) 299-9464

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018542
PA

Other

Enumeration date
11/19/2021
Last updated
11/19/2021
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