Individual
MICHELE LORA GONEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3535 MARKET ST, PHILADELPHIA, PA 19104-3309
(215) 746-6700
Mailing address
3535 MARKET ST, PHILADELPHIA, PA 19104-3309
(215) 746-6700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018225
PA
Other
Enumeration date
02/21/2017
Last updated
07/21/2022
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