Individual
DR. TALYA L ESCOGIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1845 WALNUT ST, STE 2323, PHILADELPHIA, PA 19103-4708
(215) 735-0595
(215) 735-7970
Mailing address
1810 RITTENHOUSE SQ, #908, PHILADELPHIA, PA 19103-5816
(215) 735-0595
(215) 735-7970
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS005368L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0461216000
PERSONAL CHOICE
PA
01
—
227042000
MAGELLAN
PA
01
—
680015517
RAILROAD MEDICARE
PA
01
—
7522310
AETNA
PA
Enumeration date
06/15/2006
Last updated
09/18/2008
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