Individual
DR. LETITIA DANIELLE KOUVATAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
499 N 5TH ST STE D&E, PHILADELPHIA, PA 19123-4005
(215) 408-4910
Mailing address
29 KINGS HIGHWAY EAST, HADDONFIELD, NJ 08033
(856) 296-3183
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016239
PA
Other
Enumeration date
12/26/2017
Last updated
12/26/2017
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