| Opal Dbt, Llc | |
|
1171 Lancaster Ave Ste 100 Berwyn PA 19312-2602 | |
| (484) 674-6325 | |
| (484) 674-6325 |
| Full Name | Opal Dbt, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1171 Lancaster Ave Ste 100, Berwyn, Pennsylvania |
| Authorized Official Name and Position | Nicole Daniella Chaikin (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 4846746324 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opal Dbt, Llc 1171 Lancaster Ave Ste 100 Berwyn PA 19312-2602 Ph: (484) 674-6324 | Opal Dbt, Llc 1171 Lancaster Ave Ste 100 Berwyn PA 19312-2602 Ph: (484) 674-6325 |
| NPI Number | 1124859335 |
|---|---|
| Provider Enumeration Date | 08/09/2024 |
| Last Update Date | 08/09/2024 |
| Certification Date | 08/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124859335 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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