Organization
PHILADELPHIA SCHOOL OF PSYCHOANALYSIS
Active
Organization
PHILADELPHIA SCHOOL OF PSYCHOANALYSIS
Active
Other names
The Phil.Consultation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA CORREALE LCSW, NCPSYA (EXECUTIVE DIRECTOR)
(215) 732-8244
Entity
Organization
Contact information
Practice address
316 S 16TH ST, PHILADELPHIA, PA 19102-4907
(215) 732-8244
(215) 732-8454
Mailing address
316 S 16TH ST, PHILADELPHIA, PA 19102-4907
(215) 732-8244
(215) 732-8454
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
PC0004614
PA
Other
Enumeration date
05/16/2012
Last updated
09/19/2017
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