Individual
DR. KARA DEVERS FAWLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1080 N DELAWARE AVE, PHILADELPHIA, PA 19125-4330
(215) 688-8707
Mailing address
1080 N DELAWARE AVE, PHILADELPHIA, PA 19125-4330
(215) 688-8707
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018234
PA
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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