| Crossroads Therapy Center | |
|
628 Juniper St Quakertown PA 18951-1587 | |
| (267) 888-2599 | |
| (800) 851-2549 |
| Full Name | Crossroads Therapy Center |
|---|---|
| Speciality | Psychologist |
| Location | 628 Juniper St, Quakertown, Pennsylvania |
| Authorized Official Name and Position | Robin L Beaumont (OWNER/PRESIDENT) |
| Authorized Official Contact | 2678882599 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Therapy Center 1783 Cedar Ln Quakertown PA 18951-5713 Ph: (267) 888-2599 | Crossroads Therapy Center 628 Juniper St Quakertown PA 18951-1587 Ph: (267) 888-2599 |
| NPI Number | 1073907705 |
|---|---|
| Provider Enumeration Date | 03/19/2015 |
| Last Update Date | 03/19/2015 |
| Medicare PECOS PAC ID | 0941527915 |
|---|---|
| Medicare Enrollment ID | O20150401000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073907705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS017011 (Pennsylvania) | Primary |
| Provider Name | Robin L Beaumont |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992088553 PECOS PAC ID: 8224201140 Enrollment ID: I20111109000192 |
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