Equilibria Psychological And Consultation Services, Llc

NPI 1356454045 - Psychologist - 103TF0200X

NPI Details
NPI 1356454045
Enumeration Date 08/16/2006
Last Updated 11/16/2012
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name NICOLE ALEXANDRA NICOLE
Position OWNER AND EXECUTIVE DIRECTOR
Phone (267) 861-3685
Fax (215) 965-1513
Practice Location
525 S 4TH ST
SUITE 471
PHILADELPHIA PA, 19147-1570, US
Phone (267) 861-3685
Fax (215) 965-1513
Business Location
525 S 4TH ST
SUITE 471
PHILADELPHIA PA, 19147-1570, US
Phone (267) 861-3685
Fax (215) 965-1513
Toxanomy
Taxonomy Code 103TF0200X
License State Pennsylvania
License Number PS015446
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According to our database, Equilibria Psychological And Consultation Services, Llc NPI is 1356454045, taxonomy code is 103TF0200X and license number is PS015446, license state is located at Pennsylvania. Equilibria Psychological And Consultation Services, Llc physically located at 525 S 4th St, Philadelphia PA, 19147-1570. NPI Number 1033115704 has the healthcare provider type.

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1356454045 NPI number is provided on an as is basis without warranty of any kind. 1356454045 is maintained by the National Plan & Provider Enumeration System. The contents of Equilibria Psychological And Consultation Services, Llc are for informational purposes only.