| Bluebird Aba Llc | |
|
8222 Westminster Rd Elkins Park PA 19027-1409 | |
| (215) 586-1865 | |
| Not Available |
| Full Name | Bluebird Aba Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8222 Westminster Rd, Elkins Park, Pennsylvania |
| Authorized Official Name and Position | Susan Deikman (MANAGING MEMBER) |
| Authorized Official Contact | 2155861865 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bluebird Aba Llc 8222 Westminster Rd Elkins Park PA 19027-1409 Ph: (215) 586-1865 | Bluebird Aba Llc 8222 Westminster Rd Elkins Park PA 19027-1409 Ph: (215) 586-1865 |
| NPI Number | 1154805315 |
|---|---|
| Provider Enumeration Date | 09/23/2018 |
| Last Update Date | 01/06/2021 |
| Certification Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154805315 | NPI | - | NPPES |
| 103615316-0001 | Medicaid | PA |
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