| Trustees Of The University Of Pennsylvania | |
|
250 King Of Prussia Rd Radnor PA 19087-5220 | |
| (610) 902-2000 | |
| (610) 902-2040 |
| Full Name | Trustees Of The University Of Pennsylvania |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 250 King Of Prussia Rd, Radnor, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Johnston (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2156627583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trustees Of The University Of Pennsylvania 3624 Market St Suite 560w Philadelphia PA 19104-2614 Ph: (215) 662-2286 | Trustees Of The University Of Pennsylvania 250 King Of Prussia Rd Radnor PA 19087-5220 Ph: (610) 902-2000 |
| NPI Number | 1417063835 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417063835 | NPI | - | NPPES |
| 0002Y21509 | Other | PA | HEALTHNET |
| 267560 | Other | PA | BLUE SHIELD |
| 1001258770019 | Medicaid | PA | |
| 1196462 | Other | PA | AETNA |
| CN3127 | Other | PA | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Emending Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 King Of Prussia Rd Ste 650, Radnor, PA 19087 Phone: 856-209-6020 | |
Main Line Behavioral Health Affiliates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Radnor Corporate Ctr, Suite 400, Radnor, PA 19087 Phone: 610-254-1450 | |
Life Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-644-6464 Fax: 610-964-1973 | |
Basic Bliss Life Coaching And Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 N Radnor Chester Rd Ste F200, Radnor, PA 19087 Phone: 267-587-6722 | |
Trustees Of The University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 | |
Trustees Of The University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 |