Yelena Litvinenko PH. D

NPI 1609094283 - Psychologist - 103TB0200X

NPI Details
NPI 1609094283
Gender Female
Enumeration Date 04/21/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2375 WOODWARD ST
PHILADELPHIA PA, 19115-5120, US
Phone (215) 676-4947
Fax (215) 676-8858
Business Location
11724 FERNDALE ST
PHILADELPHIA PA, 19116-2036, US
Phone
Fax
Toxanomy
Taxonomy Code 103TB0200X
License State Pennsylvania
License Number PS015380
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According to our database, Dr. Yelena Litvinenko PH. D NPI is 1609094283, taxonomy code is 103TB0200X and license number is PS015380, license state is located at Pennsylvania. Yelena Litvinenko PH. D physically located at 2375 Woodward St, Philadelphia PA, 19115-5120. NPI Number Yelena Litvinenko PH. D has the Individual type.

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1609094283 NPI number is provided on an as is basis without warranty of any kind. 1609094283 is maintained by the National Plan & Provider Enumeration System. The contents of Yelena Litvinenko PH. D are for informational purposes only.