IndividualActive
Marcio Jose Costa
NPI 1174374680 · Psychoanalyst · Philadelphia, PA
Provider details
- NPI number
- 1174374680
- Entity type
- Individual
- Primary specialty
- PsychoanalystBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1500 Jfk Blvd
Philadelphia, PA 19102-1710
Phone: (267) 934-9986
Approximate (ZIP-level) locationGet directions
Mailing address
1342 S Ringgold St
Philadelphia, PA 19146-4017
Registry dates
- Enumerated
- 2024-04-01
- Last updated
- 2024-04-01
- Certified
- 2024-04-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.