Individual
ANNA ZACHARCENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2325 PEROT STREET, PHILADELPHIA, PA 19130
(215) 232-6327
Mailing address
2325 PEROT ST, PHILADELPHIA, PA 19130-2525
(215) 232-6327
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS007195L
PA
Other
Enumeration date
01/08/2008
Last updated
03/23/2015
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