Individual
RODERICK THOMAS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4150 PARKSIDE AVE APT 202, PHILADELPHIA, PA 19104-7301
(267) 428-6732
Mailing address
4150 PARKSIDE AVE APT 202, PHILADELPHIA, PA 19104-7301
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001686
PA
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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