Organization
ANXIETY & AGORAPHOBIA TREATMENT CENTER, PC
Active
Other names
Agoraphobia & Anxiety Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA J FOSTER-DALEY (ADMINISTRATOR)
(610) 667-6490
Entity
Organization
Contact information
Practice address
112 BALA AVE, BALA CYNWYD, PA 19004-3025
(610) 667-6490
(610) 667-1744
Mailing address
112 BALA AVE, BALA CYNWYD, PA 19004-3025
(610) 667-6490
(610) 667-1744
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
027365000
MAGELLAN BEHAVIORAL HEALT
—
Enumeration date
08/25/2006
Last updated
02/08/2011
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