The Childrens Hospital Of Philadelphia Practice Association | |
4601 Market St Fl 3 Philadelphia PA 19139-4636 | |
(215) 590-7555 | |
(215) 590-7555 |
Full Name | The Childrens Hospital Of Philadelphia Practice Association |
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Speciality | Psychiatry & Neurology |
Location | 4601 Market St Fl 3, Philadelphia, Pennsylvania |
Authorized Official Name and Position | Sophia G Holder (EVP & CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 2674266022 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Childrens Hospital Of Philadelphia Practice Association 3401 Civic Center Blvd Philadelphia PA 19104-4319 Ph: (215) 590-7555 | The Childrens Hospital Of Philadelphia Practice Association 4601 Market St Fl 3 Philadelphia PA 19139-4636 Ph: (215) 590-7555 |
NPI Number | 1477645232 |
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Provider Enumeration Date | 09/29/2006 |
Last Update Date | 06/09/2025 |
Certification Date | 06/09/2025 |
Medicare PECOS PAC ID | 9537685599 |
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Medicare Enrollment ID | O20250502000974 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477645232 | NPI | - | NPPES |
Provider Name | Lamia Barakat |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1811136609 PECOS PAC ID: 8628595501 Enrollment ID: I20250505001329 |
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