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NPI Code Detail

MEDICARE: KATHERINE QUINTERO

MEDICARE:   KATHERINE  QUINTERO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1427639368
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE QUINTERO
Provider Business Mailing Address
First Line : 1920 S ALDER ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19148-2365
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1920 S ALDER ST
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19148-2365
Country : US
Telephone Number : 609-502-2836
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2021
Last Update Date : 04/20/2021

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Directions to “ KATHERINE QUINTERO ” Practice Location

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