Individual
WAYNE LOUIS PELLEGRINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
600 CREEKSIDE DR, SUITE 609, SANATOGA, PA 19464-9204
(610) 458-8270
Mailing address
160 SHEA LN, GLENMOORE, PA 19343-9508
(610) 458-8270
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS-005410-L
PA
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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