Provider Demographics
NPI:1649240284
Name:SPECTOR, ANN ROSEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANN
Middle Name:ROSEN
Last Name:SPECTOR
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:255 S 17TH ST
Mailing Address - Street 2:1508 MEDICAL TOWER BUILDING
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19103-6231
Mailing Address - Country:US
Mailing Address - Phone:215-563-4748
Mailing Address - Fax:215-732-8800
Practice Address - Street 1:255 S 17TH ST
Practice Address - Street 2:1508 MEDICAL TOWER BUILDING
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-6231
Practice Address - Country:US
Practice Address - Phone:215-563-4748
Practice Address - Fax:215-732-8800
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAPS004319L103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist