Individual
MS. CECILY EVE ROSE ITKOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA MFT LMFT
Contact information
Practice address
793 PENNS PARK RD, NEWTOWN, PA 18940
(215) 598-8188
Mailing address
793 PENNS PARK RD, NEWTOWN, PA 18940
(215) 598-8188
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF000488
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MF000488
LINCENSE
PA
Enumeration date
06/22/2007
Last updated
07/08/2007
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