Organization
NAZARETH PHYSICIAN SERVICES
Active
Other names
NPS Psychiatry
Organization subpart
No
Provider details
NPI number
Authorized official
AMIEE BRENNAN (CREDENTIALING SUPERVISOR)
(610) 567-6964
Entity
Organization
Contact information
Practice address
2701 HOLME AVE STE 104, PHILA, PA 19152-2029
(215) 331-8897
(215) 991-2044
Mailing address
1 W ELM ST, CONSHOHOCKEN, PA 19428-4108
(610) 567-6964
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
08/24/2017
Last updated
08/31/2017
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