| Senior Behavioral Healthcare Group, Inc | |
|
25 Llanfair Cir Ardmore PA 19003-3342 | |
| (610) 649-6769 | |
| (619) 649-4190 |
| Full Name | Senior Behavioral Healthcare Group, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 25 Llanfair Cir, Ardmore, Pennsylvania |
| Authorized Official Name and Position | Manulyn Citron (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6106496769 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Behavioral Healthcare Group, Inc 25 Llanfair Cir Ardmore PA 19003-3342 Ph: (610) 649-6769 | Senior Behavioral Healthcare Group, Inc 25 Llanfair Cir Ardmore PA 19003-3342 Ph: (610) 649-6769 |
| NPI Number | 1013930221 |
|---|---|
| Provider Enumeration Date | 07/26/2006 |
| Last Update Date | 06/10/2008 |
| Medicare PECOS PAC ID | 3476505447 |
|---|---|
| Medicare Enrollment ID | O20050217000717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013930221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Primary |
| Provider Name | Anthony J Fallica |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235185257 PECOS PAC ID: 6305746066 Enrollment ID: I20040109001079 |
| Provider Name | Sarah L Olsheski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790890945 PECOS PAC ID: 3375717374 Enrollment ID: I20111130000591 |
| Provider Name | Joan L Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437265824 PECOS PAC ID: 9739354127 Enrollment ID: I20111214000076 |
| Provider Name | Manulyn Citron |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740395847 PECOS PAC ID: 7719928324 Enrollment ID: I20111221000332 |
| Provider Name | Lauren R Weinberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619232444 PECOS PAC ID: 2668624644 Enrollment ID: I20121221000163 |
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