Organization
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Active
Organization
PHILADELPHIA COLLEGE OF OSTEOPATHIC MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH VEIT DO (SVP OF ACADEMIC AFFAIRS AND DEAN)
(215) 871-6770
Entity
Organization
Contact information
Practice address
4190 CITY AVE, PHILADELPHIA, PA 19131-1633
(215) 871-6910
(251) 871-6905
Mailing address
4190 CITY AVE, SUITE 777, PHILADELPHIA, PA 19131-1633
(215) 871-6910
(215) 871-6905
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016978
PA
Other
Enumeration date
05/25/2011
Last updated
01/10/2012
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