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Organization
SPECTRA SUPPORT SERVICES, LLC
Active
Organization
SPECTRA SUPPORT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MALEITA MARGUERITE OLSON LCSW (DIRECTOR/ CO-OWNER)
(484) 450-6476
Entity
Organization
Contact information
Practice address
390 REED RD FL 1, BROOMALL, PA 19008-4008
(484) 450-6476
(484) 450-6476
Mailing address
390 REED RD FL 1, BROOMALL, PA 19008-4008
(484) 450-6476
(484) 224-3398
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
103K00000X
Behavior Analyst
BH000073
PA
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
106H00000X
Marriage & Family Therapist
—
—
225A00000X
Music Therapist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1027817150019
—
PA
05
—
1027817150020
—
PA
05
—
1027817150021
—
PA
05
—
1027817150022
—
PA
05
—
1027817150023
—
PA
05
—
1027817150024
—
PA
Enumeration date
06/20/2012
Last updated
04/02/2020
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