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NPI Code Detail

MEDICARE: EMILIA PUCHALSKA

MEDICARE: EMILIA PUCHALSKA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1922559210
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILIA PUCHALSKA
Provider Business Mailing Address
First Line : 103 ROCKLAND AVE
Second Line :
City : BALA CYNWYD
State : PA
Zip : 19004-1827
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4451 W SWAMP RD
Second Line :
City : DOYLESTOWN
State : PA
Zip : 18902-1079
Country : US
Telephone Number : 215-822-1975
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2016
Last Update Date : 10/20/2016

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1770238115 — KIRSTIE LEA KAUKER
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Directions to “ EMILIA PUCHALSKA ” Practice Location

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