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NPI Code Detail

MEDICARE: MS. MARY E MAY MFT

MEDICARE:  MS. MARY E MAY  MFT
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1780497651
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MARY E MAY MFT
Provider Business Mailing Address
First Line : 1800 ASHBOURNE RD UNIT 30223
Second Line :
City : ELKINS PARK
State : PA
Zip : 19027-2587
Country : US
Telephone Number : 267-585-5522
Fax Number :
Provider Business Practice Location Address
First Line : 240 W SCHOOL HOUSE LN FL 1
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19144-3927
Country : US
Telephone Number : 267-971-6203
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/27/2025
Last Update Date : 01/27/2025

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