Individual
DR. CHIARA BAXT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
34TH STREET & CIVIC CENTER BLVD, TRAUMALINK, PHILADELPHIA, PA 19104
(215) 590-7555
(215) 590-7387
Mailing address
P. O. BOX 820081, PHILADELPHIA, PA 19182-0081
(215) 590-7555
(215) 590-7387
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS015643
PA
Other
Enumeration date
08/17/2006
Last updated
01/14/2009
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