Individual
MRS. ANN ITZKOWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M. A.
Contact information
Practice address
2401 PENNSYLVANIA AVE, SUITE 1A4, PHILADELPHIA, PA 19130-3010
(215) 232-0717
Mailing address
2401 PENNSYLVANIA AVE, SUITE 1A4, PHILADELPHIA, PA 19130-3002
(215) 232-0717
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS002977L
PA
106H00000X
Marriage & Family Therapist
MFT000265
PA
Other
Enumeration date
12/28/2012
Last updated
12/28/2012
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