Organization
PHILADELPHIA PSYCHIATRIC CONSULTATION SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLANCY D. MCKENZIE M.D. (OWNER)
(610) 664-0948
Entity
Organization
Contact information
Practice address
191 PRESIDENTIAL BLVD, SUITE#3W, BALA CYNWYD, PA 19004-1207
(610) 664-0948
(610) 664-0762
Mailing address
191 PRESIDENTIAL BLVD, SUITE#3W, BALA CYNWYD, PA 19004-1207
(610) 664-0948
(610) 664-0762
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD008370E
PA
Other
Enumeration date
10/10/2007
Last updated
10/10/2007
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