Individual
LOUIS RIVERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
3900 WOODLAND AVE # 116, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
3900 WOODLAND AVE # 116, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS019700
PA
103TC1900X
Counseling Psychologist
PS019700
PA
Other
Enumeration date
09/26/2022
Last updated
03/17/2023
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