Gregory J Estadt Phd | |
331 W State St Media PA 19063-2615 | |
(267) 304-3414 | |
Not Available |
Full Name | Gregory J Estadt Phd |
---|---|
Speciality | Psychologist - Clinical |
Location | 331 W State St, Media, Pennsylvania |
Authorized Official Name and Position | Gregory J Estadt (OWNER) |
Authorized Official Contact | 2673043414 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Gregory J Estadt Phd 2926 S 15th St Philadelphia PA 19145-4917 Ph: (267) 304-3414 | Gregory J Estadt Phd 331 W State St Media PA 19063-2615 Ph: (267) 304-3414 |
NPI Number | 1821381526 |
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Provider Enumeration Date | 05/27/2011 |
Last Update Date | 05/27/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821381526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS016426 (Pennsylvania) | Primary |
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