| Willowbrook Wellness, Llc | |
|
822 Montgomery Ave Suite 316 Narberth PA 19072-1937 | |
| (484) 297-2022 | |
| Not Available |
| Full Name | Willowbrook Wellness, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 822 Montgomery Ave, Narberth, Pennsylvania |
| Authorized Official Name and Position | Jason R. Mclaughlin (PARTNER) |
| Authorized Official Contact | 6103579230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Willowbrook Wellness, Llc 11 Willowbrook Ave Lansdowne PA 19050-1810 Ph: (610) 357-9230 | Willowbrook Wellness, Llc 822 Montgomery Ave Suite 316 Narberth PA 19072-1937 Ph: (484) 297-2022 |
| NPI Number | 1801243910 |
|---|---|
| Provider Enumeration Date | 05/18/2016 |
| Last Update Date | 05/18/2016 |
| Medicare PECOS PAC ID | 9931490802 |
|---|---|
| Medicare Enrollment ID | O20160623001267 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801243910 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS015685 (Pennsylvania) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW017511 (Pennsylvania) | Primary |
| Provider Name | Jason Ryan Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063791457 PECOS PAC ID: 1951532910 Enrollment ID: I20140317000515 |
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