| Center City Psychology, Pc | |
|
1500 Walnut St Ste 502 Philadelphia PA 19102-3503 | |
| (215) 688-1702 | |
| (215) 928-2018 |
| Full Name | Center City Psychology, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 1500 Walnut St Ste 502, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Susan Matour (PRESIDENT) |
| Authorized Official Contact | 2156881702 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center City Psychology, Pc Po Box 22664 Philadelphia PA 19110-2664 Ph: (215) 300-6791 | Center City Psychology, Pc 1500 Walnut St Ste 502 Philadelphia PA 19102-3503 Ph: (215) 688-1702 |
| NPI Number | 1124393681 |
|---|---|
| Provider Enumeration Date | 03/16/2012 |
| Last Update Date | 08/29/2024 |
| Certification Date | 08/29/2024 |
| Medicare PECOS PAC ID | 8628396744 |
|---|---|
| Medicare Enrollment ID | O20150421000671 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124393681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan Matour |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194903666 PECOS PAC ID: 1456525203 Enrollment ID: I20111114000510 |
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