Organization
CENTER FOR INTEGRATIVE PSYCHIATRY AND NEUROMODULATION, PLLC
Active
Parent organization
PSYCHIATRIC ASSOCIATES OF PENNSYLVANIA
Other names
Axon Psychiatry
Organization subpart
Yes
Provider details
NPI number
Legal business name
PSYCHIATRIC ASSOCIATES OF PENNSYLVANIA
Authorized official
DR. FREDERICK RHODE STODDARD II MD, PHD (CEO)
(215) 292-4007
Entity
Organization
Contact information
Practice address
822 MONTGOMERY AVE STE 207, NARBERTH, PA 19072-1946
(215) 565-1005
Mailing address
822 MONTGOMERY AVE STE 207, NARBERTH, PA 19072-1946
(215) 565-1005
(215) 494-1070
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/17/2020
Last updated
03/08/2024
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