| Integrative Psychological & Consulting Services | |
|
1 Bala Ave Suite 110 Bala Cynwyd PA 19004-3212 | |
| (267) 252-3449 | |
| Not Available |
| Full Name | Integrative Psychological & Consulting Services |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1 Bala Ave, Bala Cynwyd, Pennsylvania |
| Authorized Official Name and Position | Williametta Simmons (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 2672523449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrative Psychological & Consulting Services 2708 Society Dr Claymont DE 19703-1763 Ph: (267) 252-3449 | Integrative Psychological & Consulting Services 1 Bala Ave Suite 110 Bala Cynwyd PA 19004-3212 Ph: (267) 252-3449 |
| NPI Number | 1104246529 |
|---|---|
| Provider Enumeration Date | 04/24/2014 |
| Last Update Date | 04/24/2014 |
| Medicare PECOS PAC ID | 2163648510 |
|---|---|
| Medicare Enrollment ID | O20140722000526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104246529 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Williametta Simmons |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1639594898 PECOS PAC ID: 3072739424 Enrollment ID: I20140723001807 |
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