Individual
NANCY KASSAM-ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-7555
Mailing address
3440 MARKET ST STE 410, PHILADELPHIA, PA 19104-3338
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS008445L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PS008445L
LICENSE
PA
Enumeration date
11/07/2017
Last updated
11/07/2017
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