Family Health Psychology Center Llc | |
506 W Mount Airy Ave Philadelphia PA 19119-2948 | |
(610) 237-5444 | |
Not Available |
Full Name | Family Health Psychology Center Llc |
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Speciality | Psychologist |
Location | 506 W Mount Airy Ave, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Brett Boyer (MBR) |
Authorized Official Contact | 6102375444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Family Health Psychology Center Llc 506 W Mount Airy Ave Philadelphia PA 19119-2948 Ph: (610) 237-5444 | Family Health Psychology Center Llc 506 W Mount Airy Ave Philadelphia PA 19119-2948 Ph: (610) 237-5444 |
NPI Number | 1457583833 |
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Provider Enumeration Date | 08/18/2009 |
Last Update Date | 06/10/2010 |
Medicare PECOS PAC ID | 8022150945 |
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Medicare Enrollment ID | O20100115000030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1457583833 | NPI | - | NPPES |
1024063200001 | Medicaid | PA | |
3775109000 | Other | PA | INDEPENDENCE BLUE CROSS |
9657530 | Other | AETNA | |
600633164 | Other | MAGELLAN | |
2138698 | Other | PA | BLUE CROSS BLUE SHIELD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Sonia Voynow |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184765174 PECOS PAC ID: 9830231760 Enrollment ID: I20100115000081 |
Provider Name | Bret Boyer |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1013059831 PECOS PAC ID: 8022150952 Enrollment ID: I20100115000107 |
Provider Name | Erica A Henninger |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1912231937 PECOS PAC ID: 8527378827 Enrollment ID: I20151116001808 |
Provider Name | Tamara C Hill |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1518507912 PECOS PAC ID: 1456776574 Enrollment ID: I20200806002999 |
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