Healthcare Provider Details

I. General information

NPI: 1265703276
Provider Name (Legal Business Name): THE READING CLINIC, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/23/2012
Last Update Date: 09/19/2020
Certification Date: 09/19/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 PEOPLES PLZ STE 127
NEWARK DE
19702-5706
US

IV. Provider business mailing address

225 E CITY AVE STE 108
BALA CYNWYD PA
19004-1724
US

V. Phone/Fax

Practice location:
  • Phone: 302-832-1023
  • Fax: 302-834-0933
Mailing address:
  • Phone: 215-395-8591
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number61, 81, 83
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number61
License Number StatePA
# 3
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number StatePA
# 4
Primary TaxonomyN
Taxonomy Code252Y00000X
TaxonomyEarly Intervention Provider Agency
License Number61
License Number StatePA
# 5
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number61
License Number StatePA

VIII. Authorized Official

Name: DR. RAHMANDA S. CAMPBELL
Title or Position: PC/DIAGNOSTICIAN/CLINICIAN
Credential: P.C., ED.D.
Phone: 215-395-8591