| Patricia Tacchino Llc | |
|
47 Sterner Ave Broomall PA 19008-2633 | |
| (610) 551-4295 | |
| Not Available |
| Full Name | Patricia Tacchino Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 47 Sterner Ave, Broomall, Pennsylvania |
| Authorized Official Name and Position | Patricia Shombert Tacchino (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 6105514295 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Patricia Tacchino Llc 47 Sterner Ave Broomall PA 19008-2633 Ph: (610) 551-4295 | Patricia Tacchino Llc 47 Sterner Ave Broomall PA 19008-2633 Ph: (610) 551-4295 |
| NPI Number | 1114546819 |
|---|---|
| Provider Enumeration Date | 04/13/2020 |
| Last Update Date | 04/13/2020 |
| Certification Date | 04/13/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114546819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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