Individual
DIANE J. AUTIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
1489 BALTIMORE PIKE, SUITE 250, SPRINGFIELD, PA 19064-3958
(610) 544-2110
(610) 604-9510
Mailing address
429 S 8TH ST, PHILADELPHIA, PA 19147-1312
(215) 922-0164
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS003060L
PA
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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