| Kidspeace National Centers, Of Pennsylvania Inc. | |
|
5300 Kidspeace Dr Orefield PA 18069-2044 | |
| (610) 799-8000 | |
| (610) 799-8801 |
| Full Name | Kidspeace National Centers, Of Pennsylvania Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 5300 Kidspeace Dr, Orefield, Pennsylvania |
| Authorized Official Name and Position | Michael Callan (CFO) |
| Authorized Official Contact | 6107997517 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidspeace National Centers, Of Pennsylvania Inc. 4085 Independence Dr Schnecksville PA 18078-2574 Ph: (610) 799-8343 | Kidspeace National Centers, Of Pennsylvania Inc. 5300 Kidspeace Dr Orefield PA 18069-2044 Ph: (610) 799-8000 |
| NPI Number | 1619303914 |
|---|---|
| Provider Enumeration Date | 09/18/2013 |
| Last Update Date | 03/31/2023 |
| Certification Date | 03/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619303914 | NPI | - | NPPES |
| 100763290-0041 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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