Healthcare Provider Details

I. General information

NPI: 1619273810
Provider Name (Legal Business Name): EMANUEL EDWARD TROIANI PSY.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/04/2011
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1012 N BETHLEHEM PIKE STE 103
LOWER GWYNEDD PA
19002-2100
US

IV. Provider business mailing address

1012 N BETHLEHEM PIKE STE 103
LOWER GWYNEDD PA
19002-2100
US

V. Phone/Fax

Practice location:
  • Phone: 215-233-5688
  • Fax:
Mailing address:
  • Phone: 215-233-5688
  • Fax: 610-444-1737

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberPS016934
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: