| Media Child And Family Associates Llc | |
|
42 E Front St Media PA 19063-2912 | |
| (610) 348-6439 | |
| (610) 892-2774 |
| Full Name | Media Child And Family Associates Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 42 E Front St, Media, Pennsylvania |
| Authorized Official Name and Position | Justin Corrocher (OWNER) |
| Authorized Official Contact | 6103486439 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Media Child And Family Associates Llc 42 E Front St Media PA 19063-2912 Ph: (610) 348-6439 | Media Child And Family Associates Llc 42 E Front St Media PA 19063-2912 Ph: (610) 348-6439 |
| NPI Number | 1316312259 |
|---|---|
| Provider Enumeration Date | 12/03/2015 |
| Last Update Date | 12/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316312259 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC004837 (Pennsylvania) | Secondary |
| 106H00000X | Marriage & Family Therapist | MF000595 (Pennsylvania) | Primary |
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