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

Philadelphia College of Osteopathic Medicine

Organization Clinical Psychologist · NPI 1316230220

Philadelphia College of Osteopathic Medicine is a Clinical Psychologist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2011.

Licensed in
PA
In the registry since
2011

Practice location Address checks out

4190 City Ave
Philadelphia, PA 19131-1633
Phone: (215) 871-6910
Fax: (251) 871-6905
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PS016978 (PA)

Record details

NPI number1316230220
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kenneth Veit — Svp Of Academic Affairs And Dean · (215) 871-6770
NPI enumeratedMay 25, 2011
Last updated in NPPESJanuary 10, 2012
Mailing address4190 City Ave, Suite 777, Philadelphia, PA 19131-1633

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