Gina Marie Dattilo, PSYD
Psychologist in Elverson, PA. Individual provider (NPI-1).
NPI number1497902829
StatusActive
Last updated in NPPESAug 28, 2018
Details
- NPI
- 1497902829
- Entity type
- Individual (NPI-1)
- Name
- Gina Marie Dattilo
- Credential
- PSYD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2008
- Last updated
- Aug 28, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103T00000X | Psychologist | PS017764 | PA | Yes |
Practice location
293 Hopewell RdElverson, PA 19520
Phone 540-209-4717
Mailing address
293 Hopewell RdElverson, PA 19520-8804
Phone 540-209-4717
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