Individual
DOROTHY LATELLA-ZAKHIREH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1930 S BROAD ST, IMA, PHILADELPHIA, PA 19145
(856) 220-2276
Mailing address
9 DURHAM CT, VOORHEES, NJ 08043-2951
(856) 220-2276
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
017489
PA
103TC0700X
Clinical Psychologist
Primary
017489
PA
Other
Enumeration date
12/10/2015
Last updated
12/10/2015
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