Individual
ANAHITA MADON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
525 S 4TH ST STE 471, PHILADELPHIA, PA 19147
(267) 861-3685
Mailing address
525 S 4TH ST STE 471, PHILADELPHIA, PA 19147-1582
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/15/2015
Last updated
07/12/2018
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