Individual
DR. JOSHUA RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1700 N BROAD ST STE 2, PHILADELPHIA, PA 19121-3429
(804) 307-1837
Mailing address
2478 FRANKFORD AVE APT 2, PHILADELPHIA, PA 19125-1663
(804) 307-1837
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018706
PA
Other
Enumeration date
01/19/2019
Last updated
01/19/2019
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