Individual
CARLA T CAPONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1518 WALNUT ST, PHILADELPHIA, PA 19102-3419
(267) 491-9374
Mailing address
1518 WALNUT ST, PHILADELPHIA, PA 19102-3419
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS020628
PA
Other
Enumeration date
06/09/2025
Last updated
10/29/2025
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