Individual
DR. MARY M. ENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
7203 GREENE ST, PHILADELPHIA, PA 19119-2953
(215) 242-3936
Mailing address
7203 GREENE ST, PHILADELPHIA, PA 19119-2953
(215) 242-3936
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS-005492-L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS-005492-L
PA
103TF0000X
Family Psychologist
PS-005492-L
PA
Other
Enumeration date
05/23/2007
Last updated
05/30/2016
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