Deborah Woolf, | |
112 N Broad St, Phila, PA 19102-1512 | |
(215) 568-0860 | |
Not Available |
Full Name | Deborah Woolf |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 112 N Broad St, Phila, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1649608118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Gksw Crystal Group Associates |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1568418721 PECOS PAC ID: 7810898152 Enrollment ID: O20040119000541 |
Entity Name | Belmont Behavioral Hospital Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629468137 PECOS PAC ID: 1153636691 Enrollment ID: O20151208000473 |
Mailing Address | Practice Location Address |
---|---|
Deborah Woolf, 112 N Broad St, Phila, PA 19102-1512 Ph: (215) 568-0860 | Deborah Woolf, 112 N Broad St, Phila, PA 19102-1512 Ph: (215) 568-0860 |
Ms. Tammie Denise Harley, M.S. SPECIAL ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 N Broad St, Phila, PA 19102 Phone: 215-568-0860 Fax: 215-568-0769 | |
Mrs. Patricia Anne Moses-sakho, BA,MHS Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 N Broad St, Phila, PA 19102 Phone: 215-568-0860 Fax: 215-568-0769 | |
Johan A Gonzalez, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 N Broad St, Phila, PA 19102 Phone: 215-568-0860 Fax: 215-568-0769 | |
Jessamyne Lee, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 Tremont St, Apt B417, Phila, PA 19115 Phone: 267-721-0902 | |
Mr. Kyle C Pringle, B.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 112 N Broad St, Phila, PA 19102 Phone: 215-568-0860 Fax: 215-568-0769 | |
Mrs. Kristina Marie Masso, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 6634 Erdrick St, Phila, PA 19135 Phone: 267-408-1160 | |
Ms. Lynn Johnson-gleaton, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7203 Pittville Ave, Phila, PA 19126 Phone: 215-713-0590 Fax: 215-713-0590 |