Individual
JEANNE SUSAN DIVINCENZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4101 HOWELL RD, MALVERN, PA 19355-8692
(215) 378-7736
Mailing address
4101 HOWELL RD, MALVERN, PA 19355-8692
(215) 378-7736
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016886
PA
Other
Enumeration date
06/19/2009
Last updated
01/31/2025
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