| Primavera Psychology Associates, P.c. | |
|
1015 Chestnut St Suite 403 Philadelphia PA 19107-4316 | |
| (215) 625-9770 | |
| (215) 625-9866 |
| Full Name | Primavera Psychology Associates, P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1015 Chestnut St, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Joseph Peter Primavera (PRESIDENT) |
| Authorized Official Contact | 2156259770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primavera Psychology Associates, P.c. 1015 Chestnut St Suite 403 Philadelphia PA 19107-4316 Ph: (215) 625-9770 | Primavera Psychology Associates, P.c. 1015 Chestnut St Suite 403 Philadelphia PA 19107-4316 Ph: (215) 625-9770 |
| NPI Number | 1306977491 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306977491 | NPI | - | NPPES |
| 0247316000 | Other | PA | MHS NUMBER |
| 7306218 | Other | PA | PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS004716L (Pennsylvania) | Primary |
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