| Chester County Well-being, Llc | |
|
500 Orchard Ave Suite C101 Kennett Square PA 19348-1812 | |
| (302) 530-1419 | |
| Not Available |
| Full Name | Chester County Well-being, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 500 Orchard Ave, Kennett Square, Pennsylvania |
| Authorized Official Name and Position | Malynn Kuangparichat (PSYCHOLOGIST) |
| Authorized Official Contact | 3025301419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chester County Well-being, Llc 1 Newfield Ct West Grove PA 19390-8942 Ph: (302) 530-1419 | Chester County Well-being, Llc 500 Orchard Ave Suite C101 Kennett Square PA 19348-1812 Ph: (302) 530-1419 |
| NPI Number | 1114315173 |
|---|---|
| Provider Enumeration Date | 12/29/2014 |
| Last Update Date | 12/29/2014 |
| Medicare PECOS PAC ID | 6709282619 |
|---|---|
| Medicare Enrollment ID | O20210901000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114315173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PS017132 (Pennsylvania) | Primary |
| Provider Name | Allyson L Galloway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033131339 PECOS PAC ID: 3072763242 Enrollment ID: I20121024000342 |
| Provider Name | Malynn Kuangparichat |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063779387 PECOS PAC ID: 9436399078 Enrollment ID: I20130703000046 |
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