| Evergreen Counseling And Psychological Associates Llc | |
|
8705 Germantown Ave Ste 3 Philadelphia PA 19118-2720 | |
| (215) 247-5400 | |
| Not Available |
| Full Name | Evergreen Counseling And Psychological Associates Llc |
|---|---|
| Speciality | Counselor |
| Location | 8705 Germantown Ave Ste 3, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Christine Mcguire (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2152475400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evergreen Counseling And Psychological Associates Llc 8705 Germantown Ave Ste 3 Philadelphia PA 19118-2720 Ph: (215) 247-5400 | Evergreen Counseling And Psychological Associates Llc 8705 Germantown Ave Ste 3 Philadelphia PA 19118-2720 Ph: (215) 247-5400 |
| NPI Number | 1053748939 |
|---|---|
| Provider Enumeration Date | 10/08/2013 |
| Last Update Date | 06/06/2024 |
| Certification Date | 06/06/2024 |
| Medicare PECOS PAC ID | 3577780782 |
|---|---|
| Medicare Enrollment ID | O20140812002138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053748939 | NPI | - | NPPES |
| Provider Name | Christine Mcguire |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225130149 PECOS PAC ID: 4284851494 Enrollment ID: I20140812002217 |
| Provider Name | Ann H Genetta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326019092 PECOS PAC ID: 0648305854 Enrollment ID: I20181120002802 |
| Provider Name | Roseanna Mccleary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740826429 PECOS PAC ID: 0244617363 Enrollment ID: I20220511001357 |
| Provider Name | Emily Boland |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578014460 PECOS PAC ID: 1759768880 Enrollment ID: I20220511001515 |
| Provider Name | Arlene Mary Lacombe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457914541 PECOS PAC ID: 4981072840 Enrollment ID: I20221125000501 |
| Provider Name | Blair J Davis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1275011900 PECOS PAC ID: 5294109021 Enrollment ID: I20230318000106 |
| Provider Name | Jennifer Delvecchio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043471709 PECOS PAC ID: 1052458726 Enrollment ID: I20230601000100 |
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