| Tri-state Clinical Support Servcies, Inc. | |
|
2060 Butternut Dr Huntingdon Valley PA 19006-1733 | |
| (215) 773-0732 | |
| Not Available |
| Full Name | Tri-state Clinical Support Servcies, Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 2060 Butternut Dr, Huntingdon Valley, Pennsylvania |
| Authorized Official Name and Position | Scott Hammerman (PRESIDENT) |
| Authorized Official Contact | 2157730732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri-state Clinical Support Servcies, Inc. 2060 Butternut Dr Huntingdon Valley PA 19006-1733 Ph: () - | Tri-state Clinical Support Servcies, Inc. 2060 Butternut Dr Huntingdon Valley PA 19006-1733 Ph: (215) 773-0732 |
| NPI Number | 1366685117 |
|---|---|
| Provider Enumeration Date | 04/09/2009 |
| Last Update Date | 04/09/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366685117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
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