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230 South Broad Street Suite 1305 Philadelphia PA 19102 | |
| (215) 545-1175 | |
| (215) 592-4190 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 230 South Broad Street, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Andrea Bloomgarden (OWNER) |
| Authorized Official Contact | 2152809649 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
230 South Broad Street Suite 1305 Philadelphia PA 19102 Ph: (215) 545-1175 | 230 South Broad Street Suite 1305 Philadelphia PA 19102 Ph: (215) 545-1175 |
| NPI Number | 1184800849 |
|---|---|
| Provider Enumeration Date | 01/12/2008 |
| Last Update Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184800849 | NPI | - | NPPES |
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