Individual
CATHERINE SUZANNE DUBAILLOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3201 CHESTNUT ST FL HALL2, PHILADELPHIA, PA 19104-3370
(215) 553-7500
Mailing address
3201 CHESTNUT ST FL HALL2, PHILADELPHIA, PA 19104-3370
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018182
PA
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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