Healthcare Provider Details
I. General information
NPI: 1699701805
Provider Name (Legal Business Name): PSYCARE SOLUTIONS INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/23/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8302 OLD YORK RD SUITE 12
ELKINS PARK PA
19027-1522
US
IV. Provider business mailing address
8302 OLD YORK RD SUITE 12
ELKINS PARK PA
19027-1522
US
V. Phone/Fax
- Phone: 215-885-9700
- Fax: 215-886-7678
- Phone: 215-885-9700
- Fax: 215-886-7678
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ELLEN
M
ADELMAN
Title or Position: CEO PRESIDENT
Credential: PHD
Phone: 215-885-9700