Organization
FAMILY HEALTH PSYCHOLOGY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT BOYER PHD (MBR)
(610) 237-5444
Entity
Organization
Contact information
Practice address
506 W MOUNT AIRY AVE, PHILADELPHIA, PA 19119-2948
(610) 237-5444
Mailing address
506 W MOUNT AIRY AVE, PHILADELPHIA, PA 19119-2948
(610) 237-5444
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1024063200001
—
PA
01
—
2138698
BLUE CROSS BLUE SHIELD
PA
01
—
3775109000
INDEPENDENCE BLUE CROSS
PA
01
—
600633164
MAGELLAN
—
01
—
9657530
AETNA
—
Enumeration date
08/18/2009
Last updated
06/10/2010
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