| Talia Dipietro Llc | |
|
255 S 17th St Suite 1601 Philadelphia PA 19103-6231 | |
| (929) 400-7783 | |
| (917) 382-2235 |
| Full Name | Talia Dipietro Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 255 S 17th St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Talia K Dipietro (OWNER) |
| Authorized Official Contact | 9294007783 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Talia Dipietro Llc 2448 Aspen St Philadelphia PA 19130-2504 Ph: (929) 400-7783 | Talia Dipietro Llc 255 S 17th St Suite 1601 Philadelphia PA 19103-6231 Ph: (929) 400-7783 |
| NPI Number | 1356708697 |
|---|---|
| Provider Enumeration Date | 01/18/2016 |
| Last Update Date | 03/09/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356708697 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW018861 (Pennsylvania) | Primary |
| 1041C0700X | Social Worker - Clinical | 081521 (New York) | Secondary |
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