Individual
MS. RUTH E KANOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
112 N BROAD ST, PHILA, PA 19102-1510
(215) 568-0860
(215) 568-0769
Mailing address
2079 SIMON ST, PHILA, PA 19124-2014
(215) 533-2603
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015820
PA
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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