Organization
SPOTLYTE BEHAVIORAL HEALTH OF PENNSYLVANIA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGG GOLIN (CEO)
(856) 904-5000
Entity
Organization
Contact information
Practice address
273 W UWCHLAN AVE, DOWNINGTOWN, PA 19335-3361
(610) 873-4748
Mailing address
2275 BRIDGE STREET, ARSENAL BUILDING 23, PHILADELPHIA, PA 19137
(856) 904-5000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC1900X
Counseling Psychologist
—
—
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
2084P0800X
Psychiatry Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
07/09/2020
Last updated
08/28/2020
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