Organization
TOWER DREXEL ACADEMIC MEDICAL GROUP LLC
Active
Other names
PSYCHIATRY TOWER HEALTH MEDICAL GROUP WISSAHICKON AVENUE
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES MICHAEL VALENTINO JR. (VP OF REVENUE INTEGRITY)
(484) 628-9380
Entity
Organization
Contact information
Practice address
4700 WISSAHICKON AVE STE C102, PHILADELPHIA, PA 19144-4248
(610) 743-6049
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
104100000X
Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
06/02/2026
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