Individual
DR. ROSEANNE KOSLIN CANTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1233 LOCUST ST FL 4, PHILADELPHIA, PA 19107-5459
(215) 790-1788
(215) 732-5490
Mailing address
1233 LOCUST ST FL 3, PHILADELPHIA, PA 19107-5400
(215) 985-4448
(215) 732-1145
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016528
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103078019
—
PA
Enumeration date
12/08/2008
Last updated
03/17/2018
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