Organization
CONSULTING & THERAPEUTIC MODALITIES INC
Active
Other names
Roman J Pastushak
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN JOSEPH PASTUSHAK PHD (PRES SOLE OWNER)
(215) 364-1799
Entity
Organization
Contact information
Practice address
555 CITY AVE, STE 210, BALA CYNWYD, PA 19004-1141
(610) 660-8338
(610) 660-8339
Mailing address
67 CYNTHIA DR, RICHBORO, PA 18954-1331
(215) 364-1799
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
B10000525
DE
103TC1900X
Counseling Psychologist
Primary
PS2609L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7402114
AETNA
—
Enumeration date
10/18/2005
Last updated
08/22/2020
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