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Organization

CHOP CLINICAL ASSOCIATES

Active
Parent organization
CHOP CLINICAL ASSOCIATES, INC
Other names
CHOP Behavioral Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
CHOP CLINICAL ASSOCIATES, INC
Authorized official
MR. FABIAN STONE (VP REVENUE CYCLE)
(267) 425-5765
Entity
Organization

Contact information

Practice address
4009 BLACK HORSE PIKE, MAYS LANDING, NJ 08330-3133
(215) 590-7555
(215) 590-7387
Mailing address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-7555

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
1041C0700X
Clinical Social Worker
2084P0800X
Psychiatry Physician
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
363LP0808X
Psychiatric/Mental Health Nurse Practitioner

Other

Enumeration date
09/29/2006
Last updated
01/22/2025
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