Organization · Type 2 NPI
Intercultural Family Services, Inc.
Health Service Psychologist · Philadelphia, PA
Practice location
4254-56 Chestnut Street
Philadelphia, PA 19104
Fax (215) 386-8494
Mailing address
4225 Chestnut St
Philadelphia, PA 19104-3014
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Psychologist Primary | 103TH0100X | 105010 (PA) |
Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
About NPI 1467505065
Intercultural Family Services, Inc.'s National Provider Identifier is 1467505065, issued on Jan 19, 2007. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Philadelphia, PA. The record was last updated on Aug 22, 2020.