| Queen Village Therapy, Llc | |
|
1150 1st Ave Ste 511 King Of Prussia PA 19406 | |
| (267) 585-6055 | |
| Not Available |
| Full Name | Queen Village Therapy, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1150 1st Ave Ste 511, King Of Prussia, Pennsylvania |
| Authorized Official Name and Position | Kaitlyn Mcmahon (OWNER/THERAPIST) |
| Authorized Official Contact | 2675856055 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queen Village Therapy, Llc 622 S 4th St Unit 63825 Philadelphia PA 19147-1644 Ph: (267) 585-6055 | Queen Village Therapy, Llc 1150 1st Ave Ste 511 King Of Prussia PA 19406 Ph: (267) 585-6055 |
| NPI Number | 1801559125 |
|---|---|
| Provider Enumeration Date | 10/14/2021 |
| Last Update Date | 10/14/2021 |
| Certification Date | 09/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801559125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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