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5501 Old York Rd Philadelphia PA 19141-3018 | |
| (215) 456-9850 | |
| (215) 456-9442 |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 5501 Old York Rd, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Mary Jackson (DIRECTOR EINSTEIN PRACTICE PLAN INC) |
| Authorized Official Contact | 2154567000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 8500-8735 Philadelphia PA 19178-0001 Ph: (215) 456-7000 | 5501 Old York Rd Philadelphia PA 19141-3018 Ph: (215) 456-9850 |
| NPI Number | 1013263649 |
|---|---|
| Provider Enumeration Date | 08/01/2012 |
| Last Update Date | 08/02/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013263649 | NPI | - | NPPES |
| 1007706230139 | Medicaid | PA |
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