Organization
CENTER CITY PSYCHOLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MATOUR PSY.D. (PRESIDENT)
(215) 688-1702
Entity
Organization
Contact information
Practice address
1500 WALNUT ST STE 502, PHILADELPHIA, PA 19102-3503
(215) 688-1702
(215) 928-2018
Mailing address
PO BOX 22664, PHILADELPHIA, PA 19110-2664
(215) 300-6791
(215) 928-2018
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/16/2012
Last updated
08/29/2024
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