| Integrated Behavioral Health Services, Llc | |
|
644 Germantown Pike Ste 2b Lafayette Hill PA 19444-1619 | |
| (570) 342-8434 | |
| Not Available |
| Full Name | Integrated Behavioral Health Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 644 Germantown Pike Ste 2b, Lafayette Hill, Pennsylvania |
| Authorized Official Name and Position | Tiffany Griffiths (CEO) |
| Authorized Official Contact | 5704983624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Behavioral Health Services, Llc 1251 Wyoming Ave Exeter PA 18643-1434 Ph: (570) 307-9054 | Integrated Behavioral Health Services, Llc 644 Germantown Pike Ste 2b Lafayette Hill PA 19444-1619 Ph: (570) 342-8434 |
| NPI Number | 1225782378 |
|---|---|
| Provider Enumeration Date | 02/08/2022 |
| Last Update Date | 07/11/2022 |
| Certification Date | 04/08/2022 |
| Medicare PECOS PAC ID | 5890179675 |
|---|---|
| Medicare Enrollment ID | O20220827000246 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225782378 | NPI | - | NPPES |
| Provider Name | Tiffany M Griffiths |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1124179379 PECOS PAC ID: 5294778288 Enrollment ID: I20050610000165 |
| Provider Name | Timothy J Carnevale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356888341 PECOS PAC ID: 8123431491 Enrollment ID: I20210105001614 |
| Provider Name | Katherine Marie Destefano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669997649 PECOS PAC ID: 4880076348 Enrollment ID: I20220729001966 |
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