Individual
JONATHAN D HUPPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
3535 MARKET ST, 2ND FLOOR, PHILADELPHIA, PA 19104-3309
(215) 662-2816
Mailing address
3535 MARKET ST, 2ND FLOOR, PHILADELPHIA, PA 19104-3309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS009304L
PA
Other
Enumeration date
07/17/2006
Last updated
08/10/2011
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