Philadelphia Couples Therapy
Specialty details in registry · Philadelphia, PA
At a glance
123 S Broad St Ste 2240, Philadelphia, PA 19109-1029
NPPES record updated Dec 15, 2020. Public records can lag behind changes at a practice.
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Practice location
123 S Broad St Ste 2240Philadelphia, PA 19109-1029
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 103TC0700X
- Enumeration date
- Dec 15, 2020
- Record updated
- Dec 15, 2020
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Mental Health Counselor
101YM0800X
Specialty details in registry
103TC0700X · Primary
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
123 S Broad St Ste 2240Philadelphia, PA 19109-1029
- Phone
- (267) 209-0140
Mailing address
2157 WOODLAWN AVEGLENSIDE, PA 190385329
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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