Pennsylvania Autism Services | |
201 King Of Prussia Rd Ste 650 Radnor PA 19087-5156 | |
(484) 590-5209 | |
Not Available |
Full Name | Pennsylvania Autism Services |
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Speciality | Clinic/center - Adolescent And Children Mental Health |
Location | 201 King Of Prussia Rd Ste 650, Radnor, Pennsylvania |
Authorized Official Name and Position | Fajr Khalifah Elhadi (BEHAVIOR SPECIALIST) |
Authorized Official Contact | 4845905209 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pennsylvania Autism Services 201 King Of Prussia Rd Ste 650 Radnor PA 19087-5156 Ph: (484) 590-5209 | Pennsylvania Autism Services 201 King Of Prussia Rd Ste 650 Radnor PA 19087-5156 Ph: (484) 590-5209 |
NPI Number | 1902366404 |
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Provider Enumeration Date | 03/21/2019 |
Last Update Date | 09/26/2021 |
Certification Date | 09/26/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902366404 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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