Dr Julio Vidal, PSYD | |
2201 Providence Ave, Chester, PA 19013-5218 | |
(610) 872-9101 | |
Not Available |
Full Name | Dr Julio Vidal |
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Gender | Male |
Speciality | Psychologist - Clinical |
Location | 2201 Providence Ave, Chester, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285199331 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | PS018737 (Pennsylvania) | Primary |
Entity Name | Aids Care Group |
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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 |
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Dr Julio Vidal, PSYD 2201 Providence Ave, Chester, PA 19013-5218 Ph: (610) 872-9101 | Dr Julio Vidal, PSYD 2201 Providence Ave, Chester, PA 19013-5218 Ph: (610) 872-9101 |
Darree Clark, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2600 W 9th St, Chester, PA 19013 Phone: 610-497-7282 | |
Esther Elbaum, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2600 W 9th St, Chester, PA 19013 Phone: 610-497-7701 | |
Rosanne Walsh, MA Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2600 W 9th St, Chester, PA 19013 Phone: 610-497-7540 | |
Dr. Nicholas Aaron Wood, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2304 Edgmont Ave, Chester, PA 19013 Phone: 610-872-9101 | |
Dr. Brian Eric Ashenfelter, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 2600 W 9th St, Chester, PA 19013 Phone: 610-494-0700 | |
Dr. Elisabeth Nicholas Gibbings, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1 University Pl, Widener University, Chester, PA 19013 Phone: 610-499-1221 Fax: 610-499-4625 |