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Individual

DR. COURTNEY VILLERE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
3535 MARKET ST, SUITE 600N, PHILADELPHIA, PA 19104-3309
(215) 746-3784
Mailing address
1518 JAMES RD STE 600N, WYNNEWOOD, PA 19096-2515
(617) 935-6604

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS017774
PA
103TC2200X
Clinical Child & Adolescent Psychologist

Other

Enumeration date
01/17/2016
Last updated
09/12/2023
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