| Colby Agostinelli, Llc | |
|
255 S 17th St Ste 2100 Philadelphia PA 19103-6211 | |
| (410) 608-0066 | |
| Not Available |
| Full Name | Colby Agostinelli, Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 255 S 17th St Ste 2100, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Colby Agostinelli (DIRECTOR) |
| Authorized Official Contact | 4106080066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Colby Agostinelli, Llc 912 Kimball St Philadelphia PA 19147-3819 Ph: () - | Colby Agostinelli, Llc 255 S 17th St Ste 2100 Philadelphia PA 19103-6211 Ph: (410) 608-0066 |
| NPI Number | 1003515602 |
|---|---|
| Provider Enumeration Date | 03/02/2023 |
| Last Update Date | 03/02/2023 |
| Certification Date | 03/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003515602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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