Individual
AJABEYANG AMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
255 S 17TH ST STE 1010, PHILADELPHIA, PA 19103-6210
(734) 585-4834
Mailing address
113 N 50TH ST APT 2, PHILADELPHIA, PA 19139-2786
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PS019109
PA
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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