| Carol Martin Johnson Llc | |
|
8600 W Chester Pike Suite 108 Upper Darby PA 19082-2629 | |
| (610) 387-6056 | |
| Not Available |
| Full Name | Carol Martin Johnson Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 8600 W Chester Pike, Upper Darby, Pennsylvania |
| Authorized Official Name and Position | Carol Martin Johnson (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2676085354 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Carol Martin Johnson Llc 4708 Kingsessing Ave Philadelphia PA 19143-3819 Ph: (267) 608-5354 | Carol Martin Johnson Llc 8600 W Chester Pike Suite 108 Upper Darby PA 19082-2629 Ph: (610) 387-6056 |
| NPI Number | 1619416054 |
|---|---|
| Provider Enumeration Date | 02/17/2017 |
| Last Update Date | 02/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619416054 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC004304 (Pennsylvania) | Primary |
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