Michele Lora Gonen, PHD
Psychologist, Clinical in Philadelphia, PA. Individual provider (NPI-1).
NPI number1982143103
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1982143103
- Entity type
- Individual (NPI-1)
- Name
- Michele Lora Gonen
- Credential
- PHD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | PS018225 | PA | Yes |
Practice location
3535 Market StPhiladelphia, PA 19104-3309
Phone 215-746-6700
Mailing address
3535 Market StPhiladelphia, PA 19104-3309
Phone 215-746-6700
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