| Sequoia Behavioral Healthcare Llc | |
|
107 Chelsey Drive Unit 4 Media PA 19063 | |
| (610) 891-9024 | |
| (610) 891-9699 |
| Full Name | Sequoia Behavioral Healthcare Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 107 Chelsey Drive, Media, Pennsylvania |
| Authorized Official Name and Position | Hatti Shivumar (CEO) |
| Authorized Official Contact | 6108919024 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sequoia Behavioral Healthcare Llc 107 Chelsey Drive Unit 4 Media PA 19063 Ph: (610) 891-9024 | Sequoia Behavioral Healthcare Llc 107 Chelsey Drive Unit 4 Media PA 19063 Ph: (610) 891-9024 |
| NPI Number | 1396776969 |
|---|---|
| Provider Enumeration Date | 07/05/2006 |
| Last Update Date | 10/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396776969 | NPI | - | NPPES |
| 847252 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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