Unknown Individual – Clinical Psychologist, NPI 1376594374
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1230 GANTT DR
HUNTINGDON VALLEY, PA 190063212
Phone: (215) 671-0590
Fax: (215) 947-0436
Type: Mailing
14500, Bustleton Avenue, Philadelphia, Philadelphia County, Pennsylvania, 19116, United States
SUITE 204
PHILADELPHIA, PA 191161188
Phone: (215) 671-0590
Fax: (215) 947-0436
Type: Location
NPPES updates history
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Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 19006)
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