Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Fox Chase Cancer Center Medical Group, Inc

Organization Psychologist · NPI 1366044885

Fox Chase Cancer Center Medical Group, Inc provides Psychologist services in Philadelphia, Pennsylvania. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

333 Cottman Ave
Philadelphia, PA 19111-2497
Phone: (215) 214-3940
Fax: (215) 214-1425
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X

Record details

NPI number1366044885
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mary Squadroni — Credentialing Analyst · (215) 707-3411
Other names Psychology Assoc Of Fccc, Mgi
NPI enumeratedNovember 10, 2020
Last updated in NPPESNovember 10, 2020
Certification dateNovember 9, 2020
Mailing address333 Cottman Ave, Philadelphia, PA 19111-2497

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