| Diversified Psychological Resources, P.c. | |
|
230 S. Broad St. Suite 1005 Philadelphia PA 19102-4105 | |
| (215) 988-9911 | |
| (215) 988-9912 |
| Full Name | Diversified Psychological Resources, P.c. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 230 S. Broad St., Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Robert Lawrence Rider (OWNER) |
| Authorized Official Contact | 2159889911 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Psychological Resources, P.c. 230 S. Broad St. Suite 1005 Philadelphia PA 19102-4105 Ph: (215) 988-9911 | Diversified Psychological Resources, P.c. 230 S. Broad St. Suite 1005 Philadelphia PA 19102-4105 Ph: (215) 988-9911 |
| NPI Number | 1588711006 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 09/16/2022 |
| Certification Date | 08/18/2022 |
| Medicare PECOS PAC ID | 0941475628 |
|---|---|
| Medicare Enrollment ID | O20111207000721 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588711006 | NPI | - | NPPES |
| Provider Name | Thomas Swirsky-sacchetti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255525531 PECOS PAC ID: 6406944289 Enrollment ID: I20071112000455 |
| Provider Name | Robert Rider |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427432632 PECOS PAC ID: 6204136336 Enrollment ID: I20151123000236 |
| Provider Name | Michael Edward Keesler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1609228022 PECOS PAC ID: 7517246390 Enrollment ID: I20161118000656 |
| Provider Name | Katie Fabius |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467092312 PECOS PAC ID: 2062849318 Enrollment ID: I20200226000178 |
| Provider Name | Sarah Cp Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639750979 PECOS PAC ID: 2365851631 Enrollment ID: I20221121001296 |
| Provider Name | Lauren Truskey-longo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811749849 PECOS PAC ID: 9537500772 Enrollment ID: I20240517003711 |
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