Collegeville Psychological Center Inc | |
3774 Ridge Pike Collegeville PA 19426-3169 | |
(610) 489-3330 | |
(610) 489-9390 |
Full Name | Collegeville Psychological Center Inc |
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Speciality | Psychiatry & Neurology |
Location | 3774 Ridge Pike, Collegeville, Pennsylvania |
Authorized Official Name and Position | Samir F Faraq (PRESIDENT MEDICAL DIRECTOR) |
Authorized Official Contact | 6104893330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Collegeville Psychological Center Inc Po Box 187 Gwynedd Valley PA 19437 Ph: (610) 489-3330 | Collegeville Psychological Center Inc 3774 Ridge Pike Collegeville PA 19426-3169 Ph: (610) 489-3330 |
NPI Number | 1851305759 |
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Provider Enumeration Date | 07/28/2006 |
Last Update Date | 08/30/2007 |
Medicare PECOS PAC ID | 7618917378 |
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Medicare Enrollment ID | O20050512000135 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851305759 | NPI | - | NPPES |
1012250080001 | Medicaid | PA |
Provider Name | Christine Farag |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1801419825 PECOS PAC ID: 0648695007 Enrollment ID: I20241023000027 |
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