Provider Demographics
NPI:1447963814
Name:VALERIYA SPEKTOR, PHD, PLLC
Entity type:Organization
Organization Name:VALERIYA SPEKTOR, PHD, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VALERIYA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SPEKTOR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:267-360-9495
Mailing Address - Street 1:1527 SPRING GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-4008
Mailing Address - Country:US
Mailing Address - Phone:513-675-6342
Mailing Address - Fax:
Practice Address - Street 1:100 S BROAD ST STE 915
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19110-1016
Practice Address - Country:US
Practice Address - Phone:267-360-9495
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty