Individual
ADIJAT MUSTAPHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1315 WINDRIM AVE, PHILADELPHIA, PA 19141-2710
(215) 456-2626
Mailing address
2111 E CLEARFIELD ST, PHILADELPHIA, PA 19134-3705
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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