NPI 1174374680

Marcio Jose Araujo Costa

Practitioner Psychoanalyst Philadelphia, PA

Practice location

Address: 1500 Jfk Blvd, Philadelphia, PA 19102-1710
Phone: (267) 934-9986
Mailing address: 1342 S Ringgold St, Philadelphia, PA 19146-4017

Registered specialties

Psychoanalyst Primary

Behavioral Health & Social Service Providers Taxonomy 102L00000X

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Registry record

NPI: 1174374680
Entity type: Individual
Sex (as registered): Male
NPI issued: 1 Apr 2024
Record last updated: 1 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.