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Thomas Jefferson University
Public Health or Welfare Agency in Philadelphia, Pennsylvania
NPI 1467547968

Thomas Jefferson University is a Public Health or Welfare Agency based in Philadelphia, PA. Thomas Jefferson University practices in Philadelphia, PA. The NPI Number for Thomas Jefferson University is 1467547968 and holds a License No. (Pennsylvania).

The current practice location address for Thomas Jefferson University is 1021 South 21St Street, Philadelphia, PA and can be reached out via phone at 215-735-5979.

Location: 1021 South 21St Street, Philadelphia, PA, 19146-2634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1467547968
Provider Name
Thomas Jefferson University
Credential
Provider Entity Type
Organization
Address
1021 South 21St Street, Philadelphia, PA, 19146-2634
Phone Number
215-735-5979
Fax Number
Provider Enumeration Date
10/03/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007571300083 01 PA MEDICAID
institution
Provider Business Practice Location Address Details
Address
1021 South 21St Street
City
Philadelphia
State
Pennsylvania
Zip
19146
Phone Number
215-735-5979
Fax Number
person
Provider Business Mailing Address Details
Address
1021 South 21St Street
City
Philadelphia
State
Pennsylvania
Zip
19146
Phone Number
215-735-5979
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Addiction (Substance Use Disorder)
Taxonomy
103TA0400X
License No.
820023 (Pennsylvania)
Definition
A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Public Health or Welfare
Speciality
-
Taxonomy
251K00000X
License No.
()
Definition
Definition to come...
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