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CPA: CONSULTING PSYCHOTHERAPY ASSOCIATES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PROF. AMY MICHELE SHAITELMAN CAGS, LPC (CLINICIAN)
(609) 929-8136
Entity
Organization

Contact information

Practice address
516 GERHARD ST, PHILADELPHIA, PA 19128-1632
(609) 929-8136
Mailing address
516 GERHARD ST, PHILADELPHIA, PA 19128-1632

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
70924

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
70924
NBCC
01
PC 004751
PA LICENSED PROF. COUN.
PA
Enumeration date
11/02/2007
Last updated
11/15/2007
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