| Temple Psychology Associates | |
|
100 E Lehigh Ave Bldg Ste 105 Philadelphia PA 19125-1012 | |
| (215) 707-8496 | |
| (215) 707-4086 |
| Full Name | Temple Psychology Associates |
|---|---|
| Speciality | Psychologist |
| Location | 100 E Lehigh Ave Bldg Ste 105, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Tonya Woodard (CREDENTIALING/MANAGER) |
| Authorized Official Contact | 2157073911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Psychology Associates 2450 W Hunting Park Ave Philadelphia PA 19129-1302 Ph: (215) 707-8496 | Temple Psychology Associates 100 E Lehigh Ave Bldg Ste 105 Philadelphia PA 19125-1012 Ph: (215) 707-8496 |
| NPI Number | 1245228360 |
|---|---|
| Provider Enumeration Date | 10/12/2005 |
| Last Update Date | 06/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245228360 | NPI | - | NPPES |
| 1007780130753 | Medicaid | PA | |
| 1007780130752 | Medicaid | PA | |
| 1007780130699 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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