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1500 Lansdowne Ave Mercy Fitzergald Hospital Darby PA 19023-1200 | |
| (610) 237-4721 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1500 Lansdowne Ave, Darby, Pennsylvania |
| Authorized Official Name and Position | Patricia M Henry (FNP) |
| Authorized Official Contact | 8006771202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
7733 Forsyth Blvd Suite 2300 Saint Louis MO 63105-1817 Ph: (800) 677-1202 | 1500 Lansdowne Ave Mercy Fitzergald Hospital Darby PA 19023-1200 Ph: (610) 237-4721 |
| NPI Number | 1215913223 |
|---|---|
| Provider Enumeration Date | 12/21/2005 |
| Last Update Date | 12/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215913223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Mercy Psychiatry Associates Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1503 Lansdowne Ave, Suite 3005, Darby, PA 19023 Phone: 610-524-1552 Fax: 610-524-6039 | |