Proctor, Stephon

Proctor, Stephon is an individual health care provider with primary practice located at 3440 Market St Suite 200, Philadelphia PA 19104-3325. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as his primary health care specialty. Proctor, Stephon can be contacted via phone (215) 590-7555.

Contact Information

Primary practice address
3440 Market St Suite 200 Philadelphia PA 19104-3325
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X PS017272 Pennsylvania

Profile Details

NPI number 1134430457
LBN Legal business name Proctor, Stephon
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 1st, 2010
Last updated Aug 2nd, 2013 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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