JEANINE MARIE VIVONA

BALA CYNWYD, PA
NPI1558564724
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist Clinical
(Licence: PA  PS-008618-L)
Enumeration Date2007-06-06
Last Update Date2007-07-08
Business Address
DR. JEANINE MARIE VIVONA PHD
11 BALA AVE
BALA CYNWYD, PA 19004-3201
Phone number: 215-570-4947
Mailing Address
DR. JEANINE MARIE VIVONA PHD
215 PELHAM RD
PHILADELPHIA, PA 19119-2624
Phone number: 215-843-7368