Individual
ELIZABETH ANNE GRAVALLESE-ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
325 MARLTON PIKE E, CHERRY HILL, NJ 08034
(856) 309-8508
(856) 309-8556
Mailing address
PO BOX 191, ROCKLAND, DE 19732-0191
(302) 651-4200
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
35SI00574600
NJ
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS019243
PA
Other
Enumeration date
09/04/2013
Last updated
05/29/2024
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