Individual
DR. KRISTA COONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(267) 758-2460
Mailing address
1930 S BROAD ST, PHILADELPHIA, PA 19145-2328
(267) 758-2460
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS018261
PA
Other
Enumeration date
09/25/2017
Last updated
04/07/2018
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