Organization
OPAL DBT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICOLE DANIELLA CHAIKIN PSYD (OWNER/PSYCHOLOGIST)
(484) 674-6324
Entity
Organization
Contact information
Practice address
1171 LANCASTER AVE STE 100, BERWYN, PA 19312-2602
(484) 674-6325
(484) 674-6325
Mailing address
1171 LANCASTER AVE STE 100, BERWYN, PA 19312-2602
(484) 674-6324
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/09/2024
Last updated
08/09/2024
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