Individual
SAMANTHA MATLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(619) 890-9965
Mailing address
1928 KATER ST, PHILADELPHIA, PA 19146-1432
(619) 890-9965
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS017078
PA
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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