Healthcare Provider Details

I. General information

NPI: 1497428544
Provider Name (Legal Business Name): THE CENTER FOR ADHD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 04/03/2024
Certification Date: 04/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 E MONTGOMERY AVE FL 4
ARDMORE PA
19003-2421
US

IV. Provider business mailing address

40 E MONTGOMERY AVE FL 4
ARDMORE PA
19003-2421
US

V. Phone/Fax

Practice location:
  • Phone: 610-724-7010
  • Fax:
Mailing address:
  • Phone: 610-724-7010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: DR. MARCY CALDWELL
Title or Position: OWNER, DIRECTOR
Credential: PSY.D.
Phone: 610-724-7010