Unknown Individual – Psychologist, NPI 1710920095
Psychologist
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
27, East Mount Airy Avenue, East Mount Airy, Northwest Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19119, United States
PHILADELPHIA, PA 19119
Phone: (215) 248-6700
Fax: (215) 248-3594
Mailing address matches the actual address.
NPPES updates history
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19119)
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Group practice members
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