Psychiatric Associates Of The Main Line, Llc

NPI 1215316344 - Clinic/Center - 261QM0801X

NPI Details
NPI 1215316344
Enumeration Date 05/21/2015
Last Updated 05/21/2015
Entity Type Healthcare Provider
Active Over 1 year ago
Authorized Information
Name MICHAEL MICHAEL
Position SOLE PROPRIETOR
Phone (484) 254-6363
Fax
Practice Location
101 E LANCASTER AVE
SUITE 310
WAYNE PA, 19087-3544, US
Phone (484) 254-6363
Fax
Business Location
101 E LANCASTER AVE
SUITE 310
WAYNE PA, 19087-3544, US
Phone
Fax
Toxanomy
Taxonomy Code 261QM0801X
License State
License Number
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According to our database, Psychiatric Associates Of The Main Line, Llc NPI is 1215316344, taxonomy code is 261QM0801X Psychiatric Associates Of The Main Line, Llc physically located at 101 E Lancaster Ave, Wayne PA, 19087-3544. NPI Number 1033115704 has the healthcare provider type.

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1215316344 NPI number is provided on an as is basis without warranty of any kind. 1215316344 is maintained by the National Plan & Provider Enumeration System. The contents of Psychiatric Associates Of The Main Line, Llc are for informational purposes only.