Individual
MS. LILLIANA DIDOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1235 VINE ST, PHILADELPHIA, PA 19107-1111
(215) 405-2100
Mailing address
1637 LATONA ST, PHILADELPHIA, PA 19146-3025
(610) 585-2146
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
BH002630
PA
Other
Enumeration date
02/16/2018
Last updated
02/16/2018
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