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Organization

THE CENTER FOR AUTISM

Active
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Organization

THE CENTER FOR AUTISM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DAVID ST. CLAIR MBA (EXECUTIVE DIRECTOR)
(215) 220-2105
Entity
Organization

Contact information

Practice address
3905 FORD RD, SUITE 6, PHILADELPHIA, PA 19131-2824
(215) 878-3400
(215) 878-2082
Mailing address
3905 FORD RD, SUITE 6, PHILADELPHIA, PA 19131-2824
(215) 878-3400
(215) 878-2082

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
133660
PA
103T00000X
Psychologist
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007283430002
—
PA
Enumeration date
08/16/2005
Last updated
05/19/2010
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