Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Jeanine Marie Vivona, PHD

Individual provider Clinical Psychologist · NPI 1558564724

Dr. Jeanine Marie Vivona, PHD is a Clinical Psychologist in Bala Cynwyd, Pennsylvania. Practices as a sole proprietor. Licensed in Pennsylvania.

Licensed in
PA
In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

11 Bala Ave
Bala Cynwyd, PA 19004-3201
Phone: (215) 570-4947
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS-008618-L (PA)

Record details

NPI number1558564724
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJune 6, 2007
Last updated in NPPESJuly 8, 2007

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