Organization
DELTA COMMUNITY SUPPORTS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID WYHER (PRESIDENT)
(215) 654-1000
Entity
Organization
Contact information
Practice address
904 SUMNEYTOWN PIKE, SUITE 200, LOWER GWYNEDD, PA 19002-1321
(215) 654-1000
(215) 641-0393
Mailing address
904 SUMNEYTOWN PIKE, SUITE 200, LOWER GWYNEDD, PA 19002-1305
(215) 654-1000
(215) 641-0393
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS007042L
PA
235Z00000X
Speech-Language Pathologist
SL001211L
PA
251S00000X
Community/Behavioral Health Agency
Primary
130440
PA
Other
Enumeration date
02/28/2007
Last updated
10/30/2008
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