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Individual

KRISTIN PONTOSKI TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3900 WOODLAND AVE, PHILADELPHIA, PA 19104-4551
(215) 823-5800
Mailing address
2425 WAVERLY ST, PHILADELPHIA, PA 19146-1047
(215) 284-8842

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017746
PA

Other

Enumeration date
12/02/2014
Last updated
12/02/2014
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