Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fox Chase Cancer Center Medical Group, Inc

Organization Psychologist · NPI 1366044885

Fox Chase Cancer Center Medical Group, Inc is a Psychologist in Philadelphia, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

333 Cottman Ave
Philadelphia, PA 19111-2497
Phone: (215) 214-3940
Fax: (215) 214-1425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1366044885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Squadroni — Credentialing Analyst · (215) 707-3411
Other names Psychology Assoc Of Fccc, Mgi
NPI enumeratedNovember 10, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 9, 2020
Mailing address333 Cottman Ave, Philadelphia, PA 19111-2497

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