Dr Christiian Storm Credle, PSYD | |
907 Chester Pike, Sharon Hill, PA 19079-1411 | |
(610) 583-1177 | |
(610) 583-1177 |
Full Name | Dr Christiian Storm Credle |
---|---|
Gender | Male |
Speciality | Psychologist |
Location | 907 Chester Pike, Sharon Hill, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316552102 | NPI | - | NPPES |
PS019097 | Other | LISENCE NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS019097 (Pennsylvania) | Primary |
Entity Name | Aids Care Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477592400 PECOS PAC ID: 2264345933 Enrollment ID: O20031110000007 |
Mailing Address | Practice Location Address |
---|---|
Dr Christiian Storm Credle, PSYD 1728 S 18th St, Philadelphia, PA 19145-2103 Ph: (732) 395-3900 | Dr Christiian Storm Credle, PSYD 907 Chester Pike, Sharon Hill, PA 19079-1411 Ph: (610) 583-1177 |
Dr. Christopher Leon Louis Watkins, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 921 Chester Pike, Sharon Hill, PA 19079 Phone: 610-583-1177 | |
Jennifer Jubilee, M.A. LPC, NCP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 Calcon Hook Rd, Sharon Hill, PA 19079 Phone: 610-586-0604 | |
Nisha Bhatt, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 921 Chester Pike, Sharon Hill, PA 19079 Phone: 267-309-9503 | |
Dr. Ashlee Ballard, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 921 Chester Pike, Sharon Hill, PA 19079 Phone: 610-304-9552 | |
Taisier Elessawi, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 940 Chester Pike, Sharon Hill, PA 19079 Phone: 610-312-4733 | |
Carter Sharpe, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 921 Chester Pike, Sharon Hill, PA 19079 Phone: 610-586-4300 |