| Integrated Psychotherapy & Assessment Practice Of Pennsylvania | |
|
405 S 62nd St Philadelphia PA 19143-1031 | |
| (215) 694-3912 | |
| Not Available |
| Full Name | Integrated Psychotherapy & Assessment Practice Of Pennsylvania |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 405 S 62nd St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Kevin London (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2156943912 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Psychotherapy & Assessment Practice Of Pennsylvania 405 S 62nd St Philadelphia PA 19143-1031 Ph: (215) 694-3912 | Integrated Psychotherapy & Assessment Practice Of Pennsylvania 405 S 62nd St Philadelphia PA 19143-1031 Ph: (215) 694-3912 |
| NPI Number | 1952914897 |
|---|---|
| Provider Enumeration Date | 08/29/2020 |
| Last Update Date | 08/29/2020 |
| Certification Date | 08/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952914897 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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