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Contact Information

KAITLIN STAPLES
7058 GERMANTOWN AVENUE
SUITE 204
PHILADELPHIA, PA19119
 Phone: 215-821-7211
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KAITLIN STAPLES · (Female)

NPI # 1184053589
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2013
Last updated 12/17/2018 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • PA License # PC008772
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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