| Center For Psychological Services | |
|
125 Coulter Ave Ardmore PA 19003 | |
| (610) 642-4873 | |
| (610) 642-4886 |
| Full Name | Center For Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 125 Coulter Ave, Ardmore, Pennsylvania |
| Authorized Official Name and Position | Judith Temple Jackson (MANAGER) |
| Authorized Official Contact | 6106424873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Psychological Services 125 Coulter Ave Ardmore PA 19003 Ph: (610) 642-4873 | Center For Psychological Services 125 Coulter Ave Ardmore PA 19003 Ph: (610) 642-4873 |
| NPI Number | 1780886184 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780886184 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Pennsylvania) | Primary |
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