| Main Line Mental Health Llc | |
|
349 Lancaster Ave Suite 103 Haverford PA 19041-1500 | |
| (610) 945-5259 | |
| (610) 664-7061 |
| Full Name | Main Line Mental Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 349 Lancaster Ave, Haverford, Pennsylvania |
| Authorized Official Name and Position | Jonathan Gershon Shack (SINGLE MEMBER LLC) |
| Authorized Official Contact | 6109455259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Line Mental Health Llc 349 West Lancaster Avenue Suite 103 Haverford PA 19041-1500 Ph: (610) 945-5259 | Main Line Mental Health Llc 349 Lancaster Ave Suite 103 Haverford PA 19041-1500 Ph: (610) 945-5259 |
| NPI Number | 1083908388 |
|---|---|
| Provider Enumeration Date | 06/03/2011 |
| Last Update Date | 06/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083908388 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD04514OL (Pennsylvania) | Primary |
Carelink Community Support Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3520 Darby Rd, Haverford, PA 19041 Phone: 610-527-7131 Fax: 610-527-6894 | |
Psychiatric Associates Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 349 W. Lancaster Avenue, Suite 206, Haverford, PA 19041 Phone: 215-565-1005 Fax: 215-494-1072 | |
Tms Associates Of Pennsylvania Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 385 Lancaster Ave, Suite 206, Haverford, PA 19041 Phone: 610-726-1020 Fax: 610-726-1335 | |
Main Line Therapy Solutions Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 600 Haverford Rd Ste G104, Haverford, PA 19041 Phone: 610-649-6344 | |
Main Line Therapy Solutions, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 600 Haverford Rd, Suite G104, Haverford, PA 19041 Phone: 610-649-6344 Fax: 610-649-6930 | |
Barbara Zimmerman-slovak Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 349 Lancaster Ave, Ste 104, Haverford, PA 19041 Phone: 610-896-7228 |