Organization
PRISM THERAPY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BUBB PHD (CO-FOUNDER)
(267) 627-0177
Entity
Organization
Contact information
Practice address
101 GREENWOOD AVE STE 625, JENKINTOWN, PA 19046-2686
(267) 627-0177
Mailing address
127 TOWNSHIP LINE RD, JENKINTOWN, PA 19046-3530
(267) 627-0177
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/01/2024
Last updated
03/01/2024
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