| Asp Therapy Llc | |
|
255 S 17th St Ste 1909 Philadelphia PA 19103-6219 | |
| (215) 341-3494 | |
| Not Available |
| Full Name | Asp Therapy Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 255 S 17th St Ste 1909, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Ari Steven Pizer (SOLE MEMBER) |
| Authorized Official Contact | 2153413494 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Asp Therapy Llc 2032 Kater St Philadelphia PA 19146-1313 Ph: (215) 341-3494 | Asp Therapy Llc 255 S 17th St Ste 1909 Philadelphia PA 19103-6219 Ph: (215) 341-3494 |
| NPI Number | 1841758497 |
|---|---|
| Provider Enumeration Date | 03/02/2019 |
| Last Update Date | 03/02/2019 |
| Medicare PECOS PAC ID | 1254664568 |
|---|---|
| Medicare Enrollment ID | O20190531000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841758497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Ari Steven Pizer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588122139 PECOS PAC ID: 2163755471 Enrollment ID: I20190531000198 |
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