Organization
PROGRESSIVE HEALTH INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRIDAY ISOKPEHI OBASEIME (CHIEF EXECUTIVE OFFICER)
(610) 789-1001
Entity
Organization
Contact information
Practice address
824 ASHBY DR, MIDDLETOWN, DE 19709-9951
(484) 557-6793
Mailing address
525 W CHESTER PIKE STE 311A, HAVERTOWN, PA 19083-4510
(484) 557-6793
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
—
—
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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