Individual
LYLA HAMPTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-7555
(215) 590-7387
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104
(215) 590-7555
(215) 590-7387
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
PS017942
PA
103TC0700X
Clinical Psychologist
PS017942
PA
Other
Enumeration date
12/07/2015
Last updated
01/11/2016
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