Individual
TANA CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 W TABOR RD, PHILADELPHIA, PA 19141-3019
(215) 456-9850
Mailing address
1200 W TABOR RD, PHILADELPHIA, PA 19141-3019
(215) 456-9850
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
PA
Other
Enumeration date
11/29/2021
Last updated
11/29/2021
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