Stephon Proctor PH.D.

NPI 1134430457 - Psychologist - 103TC2200X

NPI Details
NPI 1134430457
Gender Male
Enumeration Date 07/01/2010
Last Updated 08/02/2013
Entity Type Individual
Active Over 6 years ago
Practice Location
3440 MARKET ST
SUITE 200
PHILADELPHIA PA, 19104-3325, US
Phone (215) 590-7555
Fax
Business Location
3440 MARKET ST
SUITE 200
PHILADELPHIA PA, 19104-3325, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC2200X
License State Pennsylvania
License Number PS017272
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According to our database, Dr. Stephon Proctor PH.D. NPI is 1134430457, taxonomy code is 103TC2200X and license number is PS017272, license state is located at Pennsylvania. Stephon Proctor PH.D. physically located at 3440 Market St, Philadelphia PA, 19104-3325. NPI Number Stephon Proctor PH.D. has the Individual type.

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1134430457 NPI number is provided on an as is basis without warranty of any kind. 1134430457 is maintained by the National Plan & Provider Enumeration System. The contents of Stephon Proctor PH.D. are for informational purposes only.