Organization
EINSTEIN PRACTICE PLAN, INC.
Active
Other names
Einstein Psychology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JACKSON (DIRECTOR EINSTEIN PRACTICE PLAN INC)
(215) 456-7000
Entity
Organization
Contact information
Practice address
5501 OLD YORK RD, PHILADELPHIA, PA 19141-3018
(215) 456-9850
(215) 456-9442
Mailing address
PO BOX 8500-8735, PHILADELPHIA, PA 19178-0001
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007706230139
—
PA
Enumeration date
08/01/2012
Last updated
08/02/2012
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