| Equilibria Psychological And Consultation Services, Llc | |
|
525 S 4th St Suite 471 Philadelphia PA 19147-1570 | |
| (267) 861-3685 | |
| (215) 965-1513 |
| Full Name | Equilibria Psychological And Consultation Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 525 S 4th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Nicole Alexandra Lipkin (OWNER AND EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2678613685 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Equilibria Psychological And Consultation Services, Llc 525 S 4th St Suite 471 Philadelphia PA 19147-1570 Ph: (267) 861-3685 | Equilibria Psychological And Consultation Services, Llc 525 S 4th St Suite 471 Philadelphia PA 19147-1570 Ph: (267) 861-3685 |
| NPI Number | 1356454045 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 06/04/2020 |
| Certification Date | 06/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356454045 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS015446 (Pennsylvania) | Primary |
| 103TF0200X | Psychologist - Forensic | PS015446 (Pennsylvania) | Secondary |
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