| University Of Penn Psychiatry | |
|
3400 Spruce St Philadelphia PA 19104-4206 | |
| (866) 301-4724 | |
| (215) 662-7200 |
| Full Name | University Of Penn Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 3400 Spruce St, Philadelphia, 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 |
|---|---|
| University Of Penn Psychiatry 3624 Market St Suite 560w Philadelphia PA 19104-2614 Ph: (215) 662-7583 | University Of Penn Psychiatry 3400 Spruce St Philadelphia PA 19104-4206 Ph: (866) 301-4724 |
| NPI Number | 1487667978 |
|---|---|
| Provider Enumeration Date | 08/14/2006 |
| Last Update Date | 07/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487667978 | NPI | - | NPPES |
| 8749400 | Medicaid | NJ | |
| CA5037 | Other | PA | RAILROAD MEDICARE |
| 039240 | Other | PA | BLUE SHIELD |
| 0007839500 | Medicaid | PA |
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