Organization
LIFT OFF THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ROBERT MCMANUS PSY.D. (OWNER)
(610) 601-2748
Entity
Organization
Contact information
Practice address
121 N WAYNE AVE STE 304, WAYNE, PA 19087-3542
(610) 601-2748
(508) 433-1871
Mailing address
403 COUNTRY LN, NARBERTH, PA 19072-2121
(610) 601-2748
(508) 433-1871
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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