| Jewish Family Psych Serv | |
|
2100 Arch St 5th Fl Philadelphia PA 19103-1300 | |
| (215) 496-9700 | |
| (215) 496-6622 |
| Full Name | Jewish Family Psych Serv |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2100 Arch St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Susan Wyland (CFO) |
| Authorized Official Contact | 2154969700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Family Psych Serv 2100 Arch St 5th Fl Philadelphia PA 19103-1300 Ph: (215) 496-9700 | Jewish Family Psych Serv 2100 Arch St 5th Fl Philadelphia PA 19103-1300 Ph: (215) 496-9700 |
| NPI Number | 1679606974 |
|---|---|
| Provider Enumeration Date | 03/14/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679606974 | NPI | - | NPPES |
| 1000008810025 | Other | PA | WELFARE MEDICAID |
| 1000008810009 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Pennsylvania) | Primary |
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