EPPTP Member Registration
This is a private directory for networking and resource sharing between therapists of Philadelphia, PA, and the surrounding areas, including DE, NJ, and NY, who are in private or group practice. It is a place to find support, connect for referrals, seek advice, create friendships and collegial relationships, and grow clinically. Monthly meetup hosted in Philadelphia. Members should either be licensed or working actively towards licensure under supervision. 

Most of the answers to the following questions, including your contact information, will be posted in the EPPTP group directory to be used for referrals and professional relationship building. 

Once you submit this form, please allow 48-72 hours for review by our moderators. If you are accepted, the email provided will be added to the Google Group and you will receive notification of your membership.

This is currently a donations-based membership. Your donation will be used to offset the cost of labor provided by the moderators. Donations in the $5-25 range are the most common, but there is no obligation whatsoever. Donations can be sent via Venmo to @brivolp or @magnoliasonmars and go directly to the moderators, who are also private/group practice therapists in Philly.
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Name (First and last) *
How long have you been in a group or private practice? *
Please enter your license type (MFT, LPC, etc). Please indicate if you are working towards licensure, what date you anticipate being licensed. *
Location of your practice (state). If you are licensed in multiple states, or under a supervisors whose licenses permit you to practice in multiple states, please select *all* the states where you are permitted to practice. *
Required
Email *
Phone number
Website
Psychology Today profile link
Linked In profile link
Specialization / preferred type of client:
Anything else it's important to know about you?
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