Individual
DR. MARIA DRVOSHANOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1518 WALNUT ST STE 607, PHILADELPHIA, PA 19102-3404
(571) 606-9076
Mailing address
910 CHERRY ST APT 707, PHILADELPHIA, PA 19107-2469
(571) 606-9076
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PA018535
PA
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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