Pennsylvania Gestalt Center | |
1434 Treeline Dr Malvern PA 19355-9703 | |
(610) 251-0945 | |
Not Available |
Full Name | Pennsylvania Gestalt Center |
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Speciality | Social Worker - Clinical |
Location | 1434 Treeline Dr, Malvern, Pennsylvania |
Authorized Official Name and Position | Ron Gladis (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6102510945 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pennsylvania Gestalt Center 1434 Treeline Dr Malvern PA 19355-9703 Ph: (610) 251-0945 | Pennsylvania Gestalt Center 1434 Treeline Dr Malvern PA 19355-9703 Ph: (610) 251-0945 |
NPI Number | 1205165479 |
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Provider Enumeration Date | 12/16/2009 |
Last Update Date | 12/16/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205165479 | NPI | - | NPPES |
CW012100 | Other | CLINICAL SOCIAL WORKER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CW-012100 (Pennsylvania) | Primary |
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