Individual
DR. ELLEN STEPHANIE KRAUTHAMER EWING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., MPH
Contact information
Practice address
3580 INDIAN QUEEN LN, PHILADELPHIA, PA 19129-1540
(215) 264-8948
Mailing address
630 W CLIVEDEN ST, PHILADELPHIA, PA 19119-3601
(215) 264-8948
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS0181861
PA
Other
Enumeration date
01/30/2020
Last updated
01/30/2020
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