Organization
PHILADELPHIA CENTER FOR PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HIDER SHAABAN PSYD (CLINICAL PSYCHOLOGIST, OWNER)
(267) 277-3179
Entity
Organization
Contact information
Practice address
255 S 17TH ST STE 1601, PHILADELPHIA, PA 19103-6216
(267) 277-3179
Mailing address
255 S 17TH ST STE 1601, PHILADELPHIA, PA 19103-6216
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578220232
NPI TYPE 1
PA
Enumeration date
01/18/2022
Last updated
01/18/2022
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