Individual
KAVITA TAHILANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-7555
Mailing address
462 1ST AVE, ADMINISTRATION BUILDING, 3RD FLOOR, NEW YORK, NY 10016-9196
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PS019122
PA
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
05/12/2015
Last updated
09/11/2025
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