IndividualActive
Courtney Villere, PH.D.
NPI 1306203625 · Clinical Child & Adolescent Psychologist · Philadelphia, PA
Provider details
- NPI number
- 1306203625
- Entity type
- Individual
- Primary specialty
- Clinical Child & Adolescent PsychologistBehavioral Health & Social Service Providers
- Credential
- PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- PS017774 (PA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Child & Adolescent Psychologist103TC2200X
Behavioral Health & Social Service Providers
Practice location
3535 Market St
Suite 600n
Philadelphia, PA 19104-3309
Phone: (215) 746-3784
Approximate (ZIP-level) locationGet directions
Mailing address
1518 James Rd Ste 600n
Wynnewood, PA 19096-2515
Registry dates
- Enumerated
- 2016-01-17
- Last updated
- 2023-09-12
- Certified
- 2023-09-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.