| Brainsmart Therapies: Cross Modal Creative Arts For Trauma | |
|
1110 N West End Blvd Quakertown PA 18951-4107 | |
| (267) 261-9987 | |
| Not Available |
| Full Name | Brainsmart Therapies: Cross Modal Creative Arts For Trauma |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1110 N West End Blvd, Quakertown, Pennsylvania |
| Authorized Official Name and Position | Nancy Elizabeth Lubow (OWNER AND DIRECTOR) |
| Authorized Official Contact | 2672619987 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brainsmart Therapies: Cross Modal Creative Arts For Trauma 1110 N West End Blvd Quakertown PA 18951-4107 Ph: (267) 261-9987 | Brainsmart Therapies: Cross Modal Creative Arts For Trauma 1110 N West End Blvd Quakertown PA 18951-4107 Ph: (267) 261-9987 |
| NPI Number | 1154785723 |
|---|---|
| Provider Enumeration Date | 04/11/2016 |
| Last Update Date | 04/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154785723 | NPI | - | NPPES |
| 11688809 | Other | PA | CAQH |
| 825986000 | Medicaid | PA | |
| PC003389 | Other | PA | COMMONWEALTH OF PA |
| 06717 | Other | PA | MTBC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC003389 (Pennsylvania) | Primary |
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