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Individual

DR. JEREMY PHILIP FRANK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D. CAC

Contact information

Practice address
3900 CITY AVE STE D108, PRESIDENTIAL CITY APARTMENTS, MADISON BLDG., PHILA, PA 19131-2926
(215) 356-8061
Mailing address
3900 CITY AVE STE D108, PRESIDENTIAL CITY APARTMENTS, MADISON BLDG., PHILA, PA 19131-2926
(215) 356-8061

Taxonomy

Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
PS015328
PA

Other

Enumeration date
07/26/2012
Last updated
07/26/2012
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