Individual provider · Type 1 NPI

Cory De Torres, PhD

Prescribing (Medical) Psychologist · Philadelphia, PA

NPI number 1316166226 Active

Practice location

2129 Spring Garden St
Philadelphia, PA 19130-3503

Fax (215) 854-0440

Mailing address

2327 Spruce St
Philadelphia, PA 19103-5597

Specialties and licenses

TaxonomyCodeLicense
Prescribing (Medical) Psychologist Primary 103TP0016XPS002457L (PA)

Prescribing (Medical) Psychologist: A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or…

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About NPI 1316166226

Cory De Torres, PhD's National Provider Identifier is 1316166226, issued on Apr 25, 2007. The primary taxonomy on file is Prescribing (Medical) Psychologist (103TP0016X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.