Individual
LOUISA SMYTH LUPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CHURCH ST, PHILADELPHIA, PA 19106-2201
(844) 459-7529
Mailing address
3412 HAMILTON ST, PHILADELPHIA, PA 19104-2064
(484) 343-1336
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
25-425226
PA
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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