| So Love Autistic Center | |
|
335 Bishop Hollow Rd Newtown Square PA 19073-3255 | |
| (610) 446-3680 | |
| (484) 652-2185 |
| Full Name | So Love Autistic Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 335 Bishop Hollow Rd, Newtown Square, Pennsylvania |
| Authorized Official Name and Position | Venus A David (CEO/CLINICAL DIRECTOR) |
| Authorized Official Contact | 6104463680 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| So Love Autistic Center 335 Bishop Hollow Rd Newtown Square PA 19073-3255 Ph: (640) 446-3680 | So Love Autistic Center 335 Bishop Hollow Rd Newtown Square PA 19073-3255 Ph: (610) 446-3680 |
| NPI Number | 1861758906 |
|---|---|
| Provider Enumeration Date | 04/03/2012 |
| Last Update Date | 04/12/2024 |
| Certification Date | 04/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861758906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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