| Advocates For Behavioral Change | |
|
628 Twin Ponds Rd Breinigsville PA 18031-1843 | |
| (610) 434-7820 | |
| (610) 434-8210 |
| Full Name | Advocates For Behavioral Change |
|---|---|
| Speciality | Psychologist |
| Location | 628 Twin Ponds Rd, Breinigsville, Pennsylvania |
| Authorized Official Name and Position | E. Christopher Payne (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6104347820 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advocates For Behavioral Change 628 Twin Ponds Rd Breinigsville PA 18031-1843 Ph: (610) 434-7820 | Advocates For Behavioral Change 628 Twin Ponds Rd Breinigsville PA 18031-1843 Ph: (610) 434-7820 |
| NPI Number | 1245299239 |
|---|---|
| Provider Enumeration Date | 03/20/2006 |
| Last Update Date | 09/15/2022 |
| Certification Date | 09/15/2022 |
| Medicare PECOS PAC ID | 8729058847 |
|---|---|
| Medicare Enrollment ID | O20040727001358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245299239 | NPI | - | NPPES |
| 1757627 | Other | PA | HIGHMARK BLUE SHIELD |
| 02319500 | Other | PA | CAPITAL BLUE CROSS/CAIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PS006290L (Pennsylvania) | Primary |
| Provider Name | Edward Christopher Payne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578556403 PECOS PAC ID: 3173715562 Enrollment ID: I20101004000840 |
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