| Huntingdon Valley Psychotherapy | |
|
10125 Verree Rd Ste 102 Philadelphia PA 19116-3611 | |
| (267) 312-2231 | |
| (215) 698-8946 |
| Full Name | Huntingdon Valley Psychotherapy |
|---|---|
| Speciality | Clinic/Center |
| Location | 10125 Verree Rd Ste 102, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Persida Ghibilic (LPC) |
| Authorized Official Contact | 2673122231 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Huntingdon Valley Psychotherapy 1067 Hillview Turn Huntingdon Valley PA 19006-2816 Ph: () - | Huntingdon Valley Psychotherapy 10125 Verree Rd Ste 102 Philadelphia PA 19116-3611 Ph: (267) 312-2231 |
| NPI Number | 1427862804 |
|---|---|
| Provider Enumeration Date | 02/05/2025 |
| Last Update Date | 02/13/2025 |
| Certification Date | 02/13/2025 |
| Medicare PECOS PAC ID | 8022539642 |
|---|---|
| Medicare Enrollment ID | O20250311002429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427862804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Persida Ioana Ghibilic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518146844 PECOS PAC ID: 1951822576 Enrollment ID: I20250311002966 |
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