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Individual

PROF. KEVIN LONDON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1401 S 4TH ST, PHILADELPHIA, PA 19147-5948
(215) 339-1070
(215) 339-1080
Mailing address
1401 S 31ST ST, 2ND FLOOR, PHILADELPHIA, PA 19146-3506
(215) 925-2400
(215) 925-9162

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary

Other

Enumeration date
02/09/2017
Last updated
08/29/2020
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