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NPI Code Detail

MEDICARE: REBECCA PHILIPPE

MEDICARE: REBECCA PHILIPPE
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
1101YM0800XMental Health CounselorNONE

General Provider Information

NPI Number : 1154278323
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA PHILIPPE
Provider Business Mailing Address
First Line : 1919 COTTMAN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-3816
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1919 COTTMAN AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19111-3816
Country : US
Telephone Number : 267-350-4802
Fax Number : 215-745-6511
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2026
Last Update Date : 03/16/2026

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Directions to “ REBECCA PHILIPPE ” Practice Location

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