Individual
RAQUEL EMDUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
63 W LANCASTER AVE STE 8, ARDMORE, PA 19003-1413
(215) 948-4227
(267) 200-0921
Mailing address
PO BOX 34465, PHILADELPHIA, PA 19101-4465
(267) 909-6544
(267) 200-0921
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
PS020030
PA
103TA0700X
Adult Development & Aging Psychologist
PS020030
PA
103TC0700X
Clinical Psychologist
PS020030
PA
103TC1900X
Counseling Psychologist
PS020030
PA
103TC2200X
Clinical Child & Adolescent Psychologist
PS020030
PA
103TF0000X
Family Psychologist
PS020030
PA
103TF0200X
Forensic Psychologist
PS020030
PA
103TM1800X
Intellectual & Developmental Disabilities Psychologist
PS020030
PA
103TP0814X
Psychoanalysis Psychologist
PS020030
PA
103TP2701X
Group Psychotherapy Psychologist
PS020030
PA
103TR0400X
Rehabilitation Psychologist
PS020030
PA
Other
Enumeration date
04/17/2015
Last updated
01/04/2024
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