Organization
MG THERAPEUTIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTTHEW PAUL RICHMOND PSY.D. (STAFF PSYCHOLOGIST)
(847) 421-0122
Entity
Organization
Contact information
Practice address
100 W SIXTH ST STE 305, MEDIA, PA 19063-2428
(484) 445-4147
Mailing address
100 W SIXTH ST STE 305, MEDIA, PA 19063-2428
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/25/2018
Last updated
10/25/2018
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