|
| |
|
420 S 5th Ave West Reading PA 19611-2143 | |
| (484) 628-8070 | |
| (484) 628-5289 |
| Full Name | |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 420 S 5th Ave, West Reading, Pennsylvania |
| Authorized Official Name and Position | Robert Ehinger (SR VP FINANCIAL OPERATIONS) |
| Authorized Official Contact | 4846284681 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 13579 Reading PA 19612-3579 Ph: () - | 420 S 5th Ave West Reading PA 19611-2143 Ph: (484) 628-8070 |
| NPI Number | 1225106487 |
|---|---|
| Provider Enumeration Date | 12/04/2006 |
| Last Update Date | 04/22/2024 |
| Certification Date | 04/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225106487 | NPI | - | NPPES |
| 072790 | Other | PA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Arrowhead Emotional Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 634 Penn Ave, West Reading, PA 19611 Phone: 484-709-2441 | |
Reading Professional Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6th Ave & Spruce Street, West Reading, PA 19611 Phone: 610-898-6611 |