Organization
JEWISH FAMILY PSYCH SERV
Active
Organization
JEWISH FAMILY PSYCH SERV
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN WYLAND (CFO)
(215) 496-9700
Entity
Organization
Contact information
Practice address
2100 ARCH ST, 5TH FL, PHILADELPHIA, PA 19103-1300
(215) 496-9700
(215) 496-6622
Mailing address
2100 ARCH ST, 5TH FL, PHILADELPHIA, PA 19103-1300
(215) 496-9700
(215) 496-6622
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000008810009
—
PA
01
—
1000008810025
WELFARE MEDICAID
PA
Enumeration date
03/14/2007
Last updated
08/22/2020
Update your record
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