MEDICARE: DR. ANITA G BELL PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PS002640-L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BE161407	OTHER	PA	BLUE SHIELD
2	119525	OTHER	PA	MANAGED HEALTH NETWORK
3	4288486	OTHER	PA	AETNA
4	0063020000	OTHER	PA	PERSONAL CHOICE
5	Q64273	OTHER	PA	AMERIHEALTH

General Provider Information

NPI Number	:	1578681953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANITA G BELL PSY.D.

Provider Business Mailing Address
First Line	:	609 E SEDGWICK ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-1329
Country	:	US
Telephone Number	:	215-753-1330
Fax Number	:	215-753-1333

Provider Business Practice Location Address
First Line	:	609 E SEDGWICK ST
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19119-1329
Country	:	US
Telephone Number	:	215-753-1330
Fax Number	:	215-753-1333

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/26/2007
Last Update Date	:	07/09/2007

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