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NPI Code Detail

MEDICARE: REBECCA CHADWICK

MEDICARE: REBECCA CHADWICK
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
1101YM0800XMental Health CounselorPC019683PA

General Provider Information

NPI Number : 1578422341
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA CHADWICK
Provider Business Mailing Address
First Line : 435 DEVON PARK DR STE 300
Second Line :
City : WAYNE
State : PA
Zip : 19087-1943
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 435 DEVON PARK DR STE 300
Second Line :
City : WAYNE
State : PA
Zip : 19087-1943
Country : US
Telephone Number : 610-616-5935
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2026
Last Update Date : 01/19/2026

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Directions to “ REBECCA CHADWICK ” Practice Location

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