| Asf Psychological And Therpeutic Services, Llc | |
|
331 W State St Media PA 19063-2615 | |
| (610) 574-1262 | |
| Not Available |
| Full Name | Asf Psychological And Therpeutic Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 331 W State St, Media, Pennsylvania |
| Authorized Official Name and Position | Amanda Fuhrman (PSYCHOLOGIST) |
| Authorized Official Contact | 6105741262 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asf Psychological And Therpeutic Services, Llc 331 W State St Media PA 19063-2615 Ph: (610) 574-1262 | Asf Psychological And Therpeutic Services, Llc 331 W State St Media PA 19063-2615 Ph: (610) 574-1262 |
| NPI Number | 1720362908 |
|---|---|
| Provider Enumeration Date | 10/05/2011 |
| Last Update Date | 10/05/2011 |
| Medicare PECOS PAC ID | 7517139439 |
|---|---|
| Medicare Enrollment ID | O20111018000531 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720362908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS016287 (Pennsylvania) | Primary |
| Provider Name | Amanda Fuhrman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1134308331 PECOS PAC ID: 8426220344 Enrollment ID: I20111111000093 |
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