Individual
DR. MATTHEW L WHITEHEAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
255 S 17TH ST, SUITE 2510, PHILADELPHIA, PA 19103-6231
(610) 566-8357
Mailing address
412 N JACKSON ST APT 3A, MEDIA, PA 19063-2818
(610) 566-8357
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016572
PA
Other
Enumeration date
01/05/2009
Last updated
06/18/2009
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