Individual
LEVI DANIEL DEFILIPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
Mailing address
4900 MUELLER BLVD, AUSTIN, TX 78723-3079
(512) 324-3315
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
38663
TX
103TC0700X
Clinical Psychologist
Primary
PS019689
PA
Other
Enumeration date
06/28/2020
Last updated
09/08/2022
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