Individual
MATTHEW LEROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1420 WALNUT STREET SUITE 1010, PHILADELPHIA, PA 19102
(845) 242-1925
Mailing address
1420 WALNUT ST STE 1010, PHILADELPHIA, PA 19102-4010
(845) 242-1925
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017858
PA
Other
Enumeration date
09/29/2017
Last updated
07/21/2022
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