Organization
RISING SUN PSYCHOLOGICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HAL S SHOREY PH.D. (CEO)
(610) 883-7469
Entity
Organization
Contact information
Practice address
225 S CHESTER RD STE 4, SWARTHMORE, PA 19081-1919
(610) 883-7469
Mailing address
225 S CHESTER RD STE 4, SWARTHMORE, PA 19081-1919
(610) 883-7469
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841492667
SOLE PROVIDER TYPE 1 NPI
—
01
—
PS016581
PENNSYLVANIA PSYCHOLOGY LICENSE NUMBER
PA
Enumeration date
06/03/2019
Last updated
06/03/2019
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