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MAIN LINE AFFILIATES

Organization (NPI-2) Active

Psychiatry & Neurology, Psychiatry

Provider Information

NPI Number
1083777239
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
1 RADNOR CORPORATE CTR SUITE 400, RADNOR, PA, 190874515
Phone
(610) 254-1450

Specialties & Taxonomies

Clinical Neuropsychologist
Psychologist
Clinic/Center, Rehabilitation, Substance Use Disorder License: PA #237078
Clinic/Center, Rehabilitation, Substance Use Disorder License: PA #151081
Psychologist, Clinical
Psychologist, Rehabilitation
Counselor, Addiction (Substance Use Disorder)
Psychiatry & Neurology, Addiction Psychiatry
Psychiatry & Neurology, Child & Adolescent Psychiatry
Clinic/Center, Adult Mental Health
Psychiatry & Neurology, Psychiatry Primary

All Addresses

MAILING

950 E HAVERFORD RD SUITE 110

BRYN MAWR, PA, 190103850

(610) 526-8480

LOCATION

1 RADNOR CORPORATE CTR SUITE 400

RADNOR, PA, 190874515

(610) 254-1450