| Choose Title | |
|
1313 Tasker St Philadelphia PA 19148-1034 | |
| (856) 979-5999 | |
| Not Available |
| Full Name | Choose Title |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1313 Tasker St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Katelyn Coffey (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8569795999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choose Title 744 South St # 1110 Philadelphia PA 19147-2023 | Choose Title 1313 Tasker St Philadelphia PA 19148-1034 Ph: (856) 979-5999 |
| NPI Number | 1386349975 |
|---|---|
| Provider Enumeration Date | 04/03/2023 |
| Last Update Date | 04/03/2023 |
| Certification Date | 04/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386349975 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | () | Primary |
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