Individual
DR. JOANNE P. PERILSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1901 WALNUT ST, APT 16F, PHILADELPHIA, PA 19103-4640
(215) 564-4669
Mailing address
1901 WALNUT ST, APT 16F, PHILADELPHIA, PA 19103-4640
(215) 564-4669
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS004610L
PA
103TC1900X
Counseling Psychologist
PS004610L
PA
103TH0100X
Health Service Psychologist
PS004610L
PA
103TR0400X
Rehabilitation Psychologist
PS004610L
PA
Other
Enumeration date
04/21/2006
Last updated
12/18/2007
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