| Nequetta Lashaun Alford | |
|
1235 Pine St Philadelphia PA 19107-5945 | |
| (215) 416-8434 | |
| Not Available |
| Full Name | Nequetta Lashaun Alford |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1235 Pine St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Nequetta Lashaun Alford (BEHAVIOR SPECIALIST CONSULTANT) |
| Authorized Official Contact | 2154168434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nequetta Lashaun Alford 5921 Reach St Philadelphia PA 19120-1114 Ph: (215) 416-8434 | Nequetta Lashaun Alford 1235 Pine St Philadelphia PA 19107-5945 Ph: (215) 416-8434 |
| NPI Number | 1306073929 |
|---|---|
| Provider Enumeration Date | 06/22/2009 |
| Last Update Date | 06/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306073929 | NPI | - | NPPES |
| 131451801 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 131451801 (Pennsylvania) | Primary |
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