Individual
DR. VUTHY OU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
4157 RIDGE AVE # B, PHILADELPHIA, PA 19129-1545
(267) 417-4944
Mailing address
4157 RIDGE AVE # B, PHILADELPHIA, PA 19129-1545
(267) 417-4944
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019669
PA
Other
Enumeration date
10/17/2022
Last updated
10/17/2022
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