Organization
CARE CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA KARASIK M.A., J.D. (DIRECTOR)
(215) 331-3200
Entity
Organization
Contact information
Practice address
2200 MICHENER ST STE 20, PHILADELPHIA, PA 19115-4374
(215) 331-3200
(215) 331-3977
Mailing address
2200 MICHENER ST STE 20, PHILADELPHIA, PA 19115-4374
(215) 331-3200
(215) 331-3977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1332933
HIGHMARK PSYCHOLOGIST ID
PA
01
—
2031705000
INDEPENDENCE BLUE CROSS
PA
01
—
957910
HIGHMARK MD GROUP #
PA
Enumeration date
05/11/2006
Last updated
10/24/2018
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