Most Relevant Information
Provider Data
| NPI Number: | 1003380395 |
| Provider Name: | MARIA DRVOSHANOV PSYD |
| Entity Type: | Individual |
| Taxonomy Code: | 103TC0700X |
| Specialty: | Psychologist |
| License Number: | PA018535 |
Most Important Dates
| Enumeration Date: | 01/19/2019 |
| Last Updated: | 01/19/2019 |
Provider Practice Location
1518 WALNUT ST STE 607
PHILADELPHIA
PA
191023404
Practice Location Phone/Fax
| Phone: | 5716069076 |
| Fax: |
Provider Mailing Location
910 CHERRY ST APT 707
PHILADELPHIA
PA
191072469
Provider Mailing Phone/Fax
| Phone: | 5716069076 |
| Fax: |