Organization
LIGHTHOUSE THERAPY ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER GRUNDY PSYD (OWNER)
(215) 356-0340
Entity
Organization
Contact information
Practice address
123 S BROAD ST STE 2540, PHILADELPHIA, PA 19109-6601
(215) 356-0340
Mailing address
123 S BROAD ST STE 2540, PHILADELPHIA, PA 19109-6601
(215) 356-0340
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
12/05/2020
Last updated
12/05/2020
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