| Brendanmoor Therapy | |
|
451 Roxborough Ave Philadelphia PA 19128-3536 | |
| (267) 258-1027 | |
| Not Available |
| Full Name | Brendanmoor Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 451 Roxborough Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Derik Brendan Moore (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2672581027 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brendanmoor Therapy 451 Roxborough Ave Philadelphia PA 19128-3536 Ph: (267) 258-1027 | Brendanmoor Therapy 451 Roxborough Ave Philadelphia PA 19128-3536 Ph: (267) 258-1027 |
| NPI Number | 1831916162 |
|---|---|
| Provider Enumeration Date | 09/26/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 09/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831916162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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