Individual
DR. SANDRA SEPULVEDA-KOZAKOSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
11 FRIENDS LN, SUITE 106, NEWTOWN, PA 18940-1803
(215) 364-3722
(215) 968-9034
Mailing address
688 KNOWLES AVE, UNIT C, SOUTHAMPTON, PA 18966-4102
(215) 364-3722
(215) 968-9034
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS016649
PA
Other
Enumeration date
07/21/2009
Last updated
06/09/2016
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