Organization
SHANGRI-LA PSYCHOLOGICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAWN DEBROCCO PSYD (OWNER/CLINICAL PSYCHOLOGIST)
(215) 690-1254
Entity
Organization
Contact information
Practice address
500 OFFICE CENTER DR STE 400, FORT WASHINGTON, PA 19034-3234
(215) 690-1254
Mailing address
2120 PARKDALE AVE, GLENSIDE, PA 19038-5322
(215) 690-1254
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/23/2025
Last updated
05/23/2025
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