| Psychological Services Of Chesmont, Llc. | |
|
506 S Bethlehem Pike Fort Washington PA 19034-2111 | |
| (267) 419-8532 | |
| (610) 384-9571 |
| Full Name | Psychological Services Of Chesmont, Llc. |
|---|---|
| Speciality | Psychologist |
| Location | 506 S Bethlehem Pike, Fort Washington, Pennsylvania |
| Authorized Official Name and Position | Richard Perrt Johnson (PRESIDENT) |
| Authorized Official Contact | 2674198532 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Of Chesmont, Llc. 506 S Bethlehem Pike Fort Washington PA 19034-2111 Ph: (267) 419-8532 | Psychological Services Of Chesmont, Llc. 506 S Bethlehem Pike Fort Washington PA 19034-2111 Ph: (267) 419-8532 |
| NPI Number | 1598102246 |
|---|---|
| Provider Enumeration Date | 06/03/2013 |
| Last Update Date | 03/12/2014 |
| Medicare PECOS PAC ID | 6608006630 |
|---|---|
| Medicare Enrollment ID | O20140313000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598102246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS004933L (Pennsylvania) | Primary |
| Provider Name | Richard P Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457329161 PECOS PAC ID: 8123054673 Enrollment ID: I20050715000304 |
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