| Kidspeace Children's Hospital, Inc. | |
|
704 Hay Rd Temple PA 19560-1843 | |
| (800) 854-3123 | |
| (610) 799-8318 |
| Full Name | Kidspeace Children's Hospital, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 704 Hay Rd, Temple, Pennsylvania |
| Authorized Official Name and Position | Michael Slack (CHIEF OPERATING OFFICER) |
| Authorized Official Contact | 6107998405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeace Children's Hospital, Inc. 4085 Independence Dr Schnecksville PA 18078-2574 Ph: (800) 854-3123 | Kidspeace Children's Hospital, Inc. 704 Hay Rd Temple PA 19560-1843 Ph: (800) 854-3123 |
| NPI Number | 1083048920 |
|---|---|
| Provider Enumeration Date | 08/28/2013 |
| Last Update Date | 08/11/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083048920 | NPI | - | NPPES |
| 100728370-0016 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | 218750 (Pennsylvania) | Primary |
David Meyerson, Ph.d., Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4100 Kutztown Rd, Temple, PA 19560 Phone: 610-921-3678 |