Organization
PRIMAVERA PSYCHOLOGY ASSOCIATES, P.C.
Active
Organization
PRIMAVERA PSYCHOLOGY ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH PETER PRIMAVERA III PH.D. (PRESIDENT)
(215) 625-9770
Entity
Organization
Contact information
Practice address
1015 CHESTNUT ST, SUITE 403, PHILADELPHIA, PA 19107-4316
(215) 625-9770
(215) 625-9866
Mailing address
1015 CHESTNUT ST, SUITE 403, PHILADELPHIA, PA 19107-4316
(215) 625-9770
(215) 625-9866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS004716L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0247316000
MHS NUMBER
PA
01
—
7306218
PROVIDER ID
PA
Enumeration date
03/08/2007
Last updated
08/22/2020
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