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503 Floral Vale Blvd Yardley PA 19067-5512 | |
| (215) 497-0240 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 503 Floral Vale Blvd, Yardley, Pennsylvania |
| Authorized Official Name and Position | Barry Belt (DIRECTOR) |
| Authorized Official Contact | 2154970240 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
503 Floral Vale Blvd Yardley PA 19067-5512 Ph: (215) 497-0240 | 503 Floral Vale Blvd Yardley PA 19067-5512 Ph: (215) 497-0240 |
| NPI Number | 1720118136 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6406918762 |
|---|---|
| Medicare Enrollment ID | O20081219000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720118136 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS000167L (Pennsylvania) | Primary |
| Provider Name | Jennifer Perez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1538477930 PECOS PAC ID: 0446426548 Enrollment ID: I20111220000281 |
| Provider Name | Michele Feder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477629905 PECOS PAC ID: 4880138106 Enrollment ID: I20240627002900 |
| Provider Name | Emily Crawford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669038980 PECOS PAC ID: 2567906274 Enrollment ID: I20240704000019 |
| Provider Name | Crystal J Carson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093362667 PECOS PAC ID: 7315484698 Enrollment ID: I20240805001235 |
| Provider Name | Lynne Taylor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639301914 PECOS PAC ID: 8921547365 Enrollment ID: I20240828005303 |
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Unpacked Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1579 Bud Ln, Yardley, PA 19067 Phone: 267-503-0304 Fax: 267-579-9989 | |
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