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NPI 1336702653

NPI 1336702653 : KATHLEEN SCHEPPE AMFT : PHILADELPHIA, PA

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General NPI Number Information
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    NPI Number           |    1336702653
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    Entity Type          |    Individual 
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    Provider Name        |    KATHLEEN SCHEPPE AMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/22/2019
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    Last Update Date     |    01/06/2026
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Provider Practice Location Address
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    Address Line         |    230 S BROAD ST STE 402 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19102-4108
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    Country              |    US
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    Telephone            |    215-282-3004
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    781 N JUDSON ST 
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    City                 |    PHILADELPHIA
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    State                |    PA
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    Zip                  |    19130-2507
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    Country              |    US
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    Telephone            |    215-282-3004
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    127030
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MF001391
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    License Number State |    PA
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