| S.t.a.r. Sexual Trauma And Recovery Inc. | |
|
300 E Lancaster Ave Suite 315 Wynnewood PA 19096-2139 | |
| (610) 658-2737 | |
| (610) 658-2739 |
| Full Name | S.t.a.r. Sexual Trauma And Recovery Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 300 E Lancaster Ave, Wynnewood, Pennsylvania |
| Authorized Official Name and Position | David Hanson Lewis (BUSINESS MANAGER) |
| Authorized Official Contact | 6106582737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S.t.a.r. Sexual Trauma And Recovery Inc. 300 E Lancaster Ave Suite 315 Wynnewood PA 19096-2139 Ph: (610) 658-2737 | S.t.a.r. Sexual Trauma And Recovery Inc. 300 E Lancaster Ave Suite 315 Wynnewood PA 19096-2139 Ph: (610) 658-2737 |
| NPI Number | 1053409656 |
|---|---|
| Provider Enumeration Date | 10/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053409656 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 234321 (Pennsylvania) | Primary |
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