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Organization

PHILADELPHIA COUPLES THERAPY

Active
Other names
Philadelphia Couples Therapy
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANNA NICHOLAIDES PSY.D. (OWNER)
(267) 702-6623
Entity
Organization

Contact information

Practice address
123 S BROAD ST STE 2240, PHILADELPHIA, PA 19109-1029
(267) 209-0140
Mailing address
2157 WOODLAWN AVE, GLENSIDE, PA 19038-5329
(703) 216-5903

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
12/15/2020
Last updated
12/15/2020
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