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Provider Information for 1508517285


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Ms. HILDA AMA TETTEH-OCLOO


Sex: Female

NPI: 1508517285
Last Updated: 2024-12-11
Certification Date: 2024-12-11

Details

NameValue
NPI1508517285
Enumeration Date2022-01-13
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 123 S BROAD ST STE 1835
PHILADELPHIA, PA 19109-1008
United States

Phone: 267-490-0780 | Fax:
 
Primary Practice Address 123 S BROAD ST STE 1835
PHILADELPHIA, PA 19109-1008
United States

Phone: 267-495-4951 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Direct Messaging Address
madequor@thebetteryouinstitute.com
Direct 123 S Broad St Ste 1835
Philadelphia, PA 19109-1008
United States
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)516091691Passport
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist PAMF001676