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1326098344
JOSEPH A MICUCCI
MEDIA, PA
NPI
1326098344
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: PA PS4460L)
Enumeration Date
2006-05-11
Last Update Date
2007-07-08
Business Address
Dr. JOSEPH A MICUCCI Ph.D., ABPP
36 E FRONT ST
MEDIA, PA 19063-2936
Phone number: 610-527-4255
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Mailing Address
Dr. JOSEPH A MICUCCI Ph.D., ABPP
460 GARRISON WAY
CONSHOHOCKEN, PA 19428-2516
Phone number: 610-527-4255
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