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Organization

CENTER FOR INTEGRATIVE PSYCHIATRY AND NEUROMODULATION, PLLC

Active
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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
(610) 831-4569
(215) 714-6977
Mailing address
822 MONTGOMERY AVE STE 207, NARBERTH, PA 19072-1946
(610) 831-4569
(215) 714-6977

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
10/17/2020
Last updated
07/22/2026
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