Individual
DR. STEPHON PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3440 MARKET ST, SUITE 200, PHILADELPHIA, PA 19104-3325
(215) 590-7555
Mailing address
3440 MARKET ST, SUITE 200, PHILADELPHIA, PA 19104-3325
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS017272
PA
Other
Enumeration date
07/01/2010
Last updated
08/02/2013
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