| Adrian Chiu, Ph.d., Pllc | |
|
300 Brookside Ave Building 4 Ste 125 Ambler PA 19002-3436 | |
| (267) 702-4862 | |
| (267) 722-4362 |
| Full Name | Adrian Chiu, Ph.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 300 Brookside Ave Building 4, Ambler, Pennsylvania |
| Authorized Official Name and Position | Adrian Chiu (OWNER) |
| Authorized Official Contact | 2677024862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adrian Chiu, Ph.d., Pllc 300 Brookside Ave Building 4 Ste 125 Ambler PA 19002-3436 Ph: (267) 702-4862 | Adrian Chiu, Ph.d., Pllc 300 Brookside Ave Building 4 Ste 125 Ambler PA 19002-3436 Ph: (267) 702-4862 |
| NPI Number | 1366890337 |
|---|---|
| Provider Enumeration Date | 05/31/2016 |
| Last Update Date | 12/16/2023 |
| Certification Date | 12/16/2023 |
| Medicare PECOS PAC ID | 0042502106 |
|---|---|
| Medicare Enrollment ID | O20160711000559 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366890337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS017709 (Pennsylvania) | Primary |
| 251S00000X | Community/behavioral Health | PS017709 (Pennsylvania) | Secondary |
| Provider Name | Adrian Chiu |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881090751 PECOS PAC ID: 1951693019 Enrollment ID: I20160711000889 |
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