Organization
COLBERT PSYCHOTHERAPY & CONSULTING, INC.
Active
Organization
COLBERT PSYCHOTHERAPY & CONSULTING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL MAX COLBERT PHD (OWNER)
(516) 698-0174
Entity
Organization
Contact information
Practice address
255 S 17TH ST STE 2121, PHILADELPHIA, PA 19103-6211
(530) 830-2558
Mailing address
4815 BEAUMONT AVE, PHILADELPHIA, PA 19143-3407
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
08/26/2025
Last updated
08/26/2025
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