| Brandywine Neuropsychology Associates, Inc. | |
|
5 Christy Dr Suite 102 Chadds Ford PA 19317-9682 | |
| (610) 999-1441 | |
| Not Available |
| Full Name | Brandywine Neuropsychology Associates, Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 5 Christy Dr, Chadds Ford, Pennsylvania |
| Authorized Official Name and Position | George E. Ledakis (OWNER) |
| Authorized Official Contact | 6109991441 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandywine Neuropsychology Associates, Inc. 4 Spring Ln Chadds Ford PA 19317-9700 Ph: (610) 999-1441 | Brandywine Neuropsychology Associates, Inc. 5 Christy Dr Suite 102 Chadds Ford PA 19317-9682 Ph: (610) 999-1441 |
| NPI Number | 1265772693 |
|---|---|
| Provider Enumeration Date | 02/21/2013 |
| Last Update Date | 02/21/2013 |
| Medicare PECOS PAC ID | 8325283773 |
|---|---|
| Medicare Enrollment ID | O20130408000078 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265772693 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | George E Ledakis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841377892 PECOS PAC ID: 8325163009 Enrollment ID: I20100917001009 |
| Provider Name | Michelle A Payne |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558654954 PECOS PAC ID: 1254519473 Enrollment ID: I20110616000756 |
| Provider Name | Nicole Sestito |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033553003 PECOS PAC ID: 2264655455 Enrollment ID: I20140515000327 |
| Provider Name | Daniel Kenneth Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073747507 PECOS PAC ID: 7315260544 Enrollment ID: I20141219000939 |
| Provider Name | Jennifer L Gallo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316487416 PECOS PAC ID: 2365729159 Enrollment ID: I20170504000096 |
| Provider Name | Kathleen A Breslin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780105999 PECOS PAC ID: 7214203199 Enrollment ID: I20190719000037 |
| Provider Name | William H Gardner |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386842789 PECOS PAC ID: 7618368804 Enrollment ID: I20211223000139 |
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