Organization
PHILADELPHIA COUPLES THERAPY
Active
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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