Dr. Larisa Surenovna Dzhavakova
Mental Health Counselor
1701 A Grant Ave
Philadelphia
, Pennsylvania 19115-3160
Dr. Larisa Surenovna Dzhavakova
Mental Health Counselor
1701 A Grant Ave
Philadelphia
, Pennsylvania 19115-3160
(215) 464-3899
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Dr. Larisa Surenovna Dzhavakova
- 1701 A Grant Ave
- Philadelphia, PA
- Zip : 19115-3160
- Fax : (215) 464-3899
- Phone : (215) 464-3838
Second Address
- Dr. Larisa Surenovna Dzhavakova
- 1701 A Grant Ave
- Philadelphia, PA
- Zip : 19115-3160
- Fax : (215) 464-3899
- Phone : (215) 464-3838
Reviews
FAQs
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Is Dr. Larisa Surenovna Dzhavakova a sole practitioner?
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Does Dr. Larisa Surenovna Dzhavakova offers telemedicine?
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Does Dr. Larisa Surenovna Dzhavakova have any license restrictions?
Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor |
National Provider Identifier
| NPI | 1003070319 |
|---|---|
| Provider Name | Dr. Larisa Surenovna Dzhavakova |
| First Address | Philadelphia, PA 19115-3160 |
| Second Address | Philadelphia, PA 19115-3160 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 16/07/2008 |
| Last Update Date | 16/07/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.