Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. SAMANTHA MEGAN WYCKOFF, MD
Active Sole ProprietorDR. SAMANTHA MEGAN WYCKOFF, MD is a Addiction Psychiatry healthcare provider located in PHILADELPHIA, Pennsylvania. NPI 1003312810 is currently active in the NPPES registry. Verify at CMS.
Addiction Psychiatry · PHILADELPHIA, PA
Registration Details
- NPI Number
- 1003312810
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2018 (8.3906387161947 yrs)
- Last Updated
- Jun 12, 2023
- Licenses
-
306481-01 (NY)MD480318 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
111 N 49TH STPHILADELPHIA, PA, 191392718Browse PA providers · Browse ZIP 19139
- Phone
- 2154712600
- Primary Specialty
-
Addiction Psychiatry
2084A0401X
- Additional Specialty
- Student (Health Education/Training)
- Additional Specialty
- Addiction Psychiatry
Other Addiction Psychiatry Providers in PHILADELPHIA, PA
| Name | Credential | NPI |
|---|---|---|
| ANN PECORARO | PSYD | 1851624217 |
| SONIA ALAM | MD | 1316301633 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.