Individual
DR. ANDREA DOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LCSW
Contact information
Practice address
3701 LOCUST WALK, PHILADELPHIA, PA 19104-6214
(215) 746-5486
Mailing address
5148 CHANCELLOR ST, PHILADELPHIA, PA 19139-4109
(215) 746-5486
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
44SC05457800
NJ
1041C0700X
Clinical Social Worker
Primary
CW016926
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CW016926
PA STATE BOARD OF SOCIAL WORKERS, MARITAL AND FAMILY THERAPISTS, AND PROFESSIONA
PA
Enumeration date
04/20/2011
Last updated
04/20/2011
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