University of Penn - Medical Group
University of Penn - Medical Group is a Psychologist in Philadelphia, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2006.
- Licensed in
- PA
- In the registry since
- 2006
- Specialties on file
- 3
Practice location Address checks out
3400 Spruce St 11 GatesPhiladelphia, PA 19104-4206
Phone: (215) 662-7772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Internal Medicine Physician (primary) | Taxonomy 207R00000X |
|---|---|
| Psychologist | Taxonomy 103T00000X (PA) |
| Pulmonary Disease Physician | Taxonomy 207RP1001X |
Record details
| NPI number | 1194829739 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Chante Jackson — Enrollment Lead · (215) 662-6187 |
| NPI enumerated | September 12, 2006 |
| Last updated in NPPES | November 19, 2020 |
| Certification date | November 19, 2020 |
| Mailing address | 3400 Spruce St, 11 Gates, Philadelphia, PA 19104-4206 |
Other providers in Philadelphia
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Elizabeth Turner, PHD
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University of Penn Psychiatry
3400 Spruce St, Philadelphia, PA 19104-4206 · (866) 301-4724
-
University of Penn-Medical Group
3535 Market St 3rd Fl, Philadelphia, PA 19104-3309 · (215) 746-6700
-
Dr. Pamela Beth Vail, PSYD
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Katelyn Vala, PSYD
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