# IMPAK PSYCHIATRY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508617283
- **Authorized official:** ELIZABETH PAK (PRESIDENT)
- **Authorized official phone:** (267) 715-2089

## Contact information

- **Practice address:** 390 COMMERCE DRIVE, FORT WASHINGTON, PA 19034-2600
- **Practice address phone:** (267) 715-2089
- **Practice address fax:** (267) 361-1300
- **Mailing address:** 390 COMMERCE DR \# 220, FORT WASHINGTON, PA 19034-2600
- **Mailing address phone:** (267) 715-2089
- **Mailing address fax:** (267) 361-1300

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/29/2024
- **Last updated:** 12/23/2025