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NPI Code Detail

MEDICARE: PSYCHOLOGICAL RESOURCE CENTER

MEDICARE: PSYCHOLOGICAL RESOURCE CENTER
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
1103TC0700XClinical PsychologistPS002036LPA

General Provider Information

NPI Number : 1568517134
Entity Type Code : Organization
Provider Name (Legal Business Name) : PSYCHOLOGICAL RESOURCE CENTER
Provider Business Mailing Address
First Line : 1800 JOHN F KENNEDY BLVD
Second Line : SUITE 605
City : PHILA
State : PA
Zip : 19103-7421
Country : US
Telephone Number : 215-640-0600
Fax Number : 215-640-0914
Provider Business Practice Location Address
First Line : 1800 JOHN F KENNEDY BLVD
Second Line : SUITE 605
City : PHILA
State : PA
Zip : 19103-7421
Country : US
Telephone Number : 215-640-0600
Fax Number : 215-640-0914
Authorized Official
Title or Position : DIRECTOR
Name : DR. LAWRENCE ROBERT GRIFFIN
Credential : PH.D.
Telephone Number : 215-640-0600
Provider Enumeration Date : 01/24/2007
Last Update Date : 08/22/2020

Similar Medicare Providers

1528001971 — DR. LAWRENCE ROBERT GRIFFIN PH.D.
Practice Location Address:
1800 JFK BLVD , SUITE 605
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1811921265 — DR. JEANNE G. GRIFFIN PH.D.
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1720183783 — JEFFREY WOLPER PH.D
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1568567444 — COMPREHENSIVE COUNSELING SERVICES PC
Practice Location Address:
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1922479740 — JOSE ALVAYERO
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1164427894 — DR. ALAN JAY MELTZER MD
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Directions to “PSYCHOLOGICAL RESOURCE CENTER ” Practice Location

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