Individual
DR. EMILY KOSTELNIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(000) 000-0000
Mailing address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(856) 485-5160
(856) 545-8746
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005623
VA
Other
Enumeration date
03/27/2015
Last updated
11/11/2022
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