Individual
THY VO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
680 AMERICAN AVE STE 302, KING OF PRUSSIA, PA 19406-4023
(833) 351-8255
Mailing address
680 AMERICAN AVE STE 302, KING OF PRUSSIA, PA 19406-4023
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD473023
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/05/2017
Last updated
04/15/2025
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