Organization
VIA AFFILIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN JAYNE (REVENUE CYCLE DIRECTOR)
(267) 370-5296
Entity
Organization
Contact information
Practice address
847 EASTON RD STE 2900, WARRINGTON, PA 18976-2908
(267) 864-0020
(267) 864-0021
Mailing address
PO BOX 8298641, PHILADELPHIA, PA 19182-9641
(267) 370-5296
(215) 230-3725
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
09/05/2025
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