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Individual

DR. JEREMY SOH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
255 S 17TH ST STE 1508, PHILADELPHIA, PA 19103-6215
(510) 822-6898
Mailing address
255 S 17TH ST STE 1508, PHILADELPHIA, PA 19103-6215
(510) 822-6898

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
NONE
102L00000X
Psychoanalyst
Primary
RP277
CA
102L00000X
Psychoanalyst
RPS277
CA

Other

Enumeration date
01/11/2007
Last updated
12/23/2024
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