| Ivyland Counseling Center, Inc. | |
|
1210 Old York Rd Ste 202 Warminster PA 18974-2013 | |
| (215) 444-9204 | |
| (215) 444-9206 |
| Full Name | Ivyland Counseling Center, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1210 Old York Rd, Warminster, Pennsylvania |
| Authorized Official Name and Position | Glenn Allen Heinrichs (CEO) |
| Authorized Official Contact | 2154449204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ivyland Counseling Center, Inc. 1210 Old York Rd Ste 202 Warminster PA 18974-2013 Ph: (215) 444-9204 | Ivyland Counseling Center, Inc. 1210 Old York Rd Ste 202 Warminster PA 18974-2013 Ph: (215) 444-9204 |
| NPI Number | 1497837355 |
|---|---|
| Provider Enumeration Date | 10/20/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 5698775146 |
|---|---|
| Medicare Enrollment ID | O20070105000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497837355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS015521 (Pennsylvania) | Primary |
| Provider Name | Glenn Allen Heinrichs |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891731378 PECOS PAC ID: 3971503426 Enrollment ID: I20070105000353 |
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