Individual
ANN M WHITEHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
(215) 877-2000
Mailing address
4200 MONUMENT RD, PHILADELPHIA, PA 19131-1625
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005920L
PA
Other
Enumeration date
07/12/2010
Last updated
07/12/2010
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