| Rising Sun Psychological Llc | |
|
225 S Chester Rd Ste 4 Swarthmore PA 19081-1919 | |
| (610) 883-7469 | |
| Not Available |
| Full Name | Rising Sun Psychological Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 225 S Chester Rd Ste 4, Swarthmore, Pennsylvania |
| Authorized Official Name and Position | Hal S Shorey (CEO) |
| Authorized Official Contact | 6108837469 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rising Sun Psychological Llc 225 S Chester Rd Ste 4 Swarthmore PA 19081-1919 Ph: (610) 883-7469 | Rising Sun Psychological Llc 225 S Chester Rd Ste 4 Swarthmore PA 19081-1919 Ph: (610) 883-7469 |
| NPI Number | 1770141996 |
|---|---|
| Provider Enumeration Date | 06/03/2019 |
| Last Update Date | 06/03/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770141996 | NPI | - | NPPES |
| PS016581 | Other | PA | PENNSYLVANIA PSYCHOLOGY LICENSE NUMBER |
| 1841492667 | Other | SOLE PROVIDER TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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