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Organization
CHOP CLINICAL ASSOCIATES
Active
Organization
CHOP CLINICAL ASSOCIATES
Active
Parent organization
CHOP CLINICAL ASSOCIATES, INC
Other names
CHOP Behavioral Health
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHOP CLINICAL ASSOCIATES, INC
Authorized official
MR. FABIAN STONE (VP REVENUE CYCLE)
(267) 425-5765
Entity
Organization
Contact information
Practice address
4009 BLACK HORSE PIKE, MAYS LANDING, NJ 08330-3133
(215) 590-7555
(215) 590-7387
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-7555
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
NULL
101YP2500X
Professional Counselor
—
—
103G00000X
Clinical Neuropsychologist
—
NULL
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
NULL
103T00000X
Psychologist
—
—
1041C0700X
Clinical Social Worker
—
NULL
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
NULL
2084P0800X
Psychiatry Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
NULL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
09/29/2006
Last updated
01/22/2025
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