| Main Line Affiliates | |
|
1 Radnor Corporate Ctr Suite 400 Radnor PA 19087-4515 | |
| (610) 254-1450 | |
| Not Available |
| Full Name | Main Line Affiliates |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1 Radnor Corporate Ctr, Radnor, Pennsylvania |
| Authorized Official Name and Position | Michael J Buongiorno (EXEC. VP & CFO) |
| Authorized Official Contact | 4843378481 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Main Line Affiliates 950 E Haverford Rd Suite 110 Bryn Mawr PA 19010-3850 Ph: (610) 526-8480 | Main Line Affiliates 1 Radnor Corporate Ctr Suite 400 Radnor PA 19087-4515 Ph: (610) 254-1450 |
| NPI Number | 1083777239 |
|---|---|
| Provider Enumeration Date | 12/19/2006 |
| Last Update Date | 05/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083777239 | NPI | - | NPPES |
| 293195 | Other | VALUEOPTIONS - MLA | |
| 471443000 | Other | MAGELLAN - MLA | |
| 2089835 | Other | CIGNA - CAD EXTON | |
| 2983830 | Other | AETNA HMO - CAD DREX HILL | |
| 2089834 | Other | CIGNA - CAD DREXEL HILL | |
| 231200000 | Other | MAGELLAN - CAD EXTON | |
| 280110000 | Other | MAGELLAN - CAD DREXEL HIL | |
| 0664704000 | Other | IBC - BMR PSYCH ASSOC | |
| 1007726370011 | Medicaid | PA | |
| 101825 | Other | UNITED - CAD ADOLESCENT | |
| 2317419000 | Other | IBC - MLA | |
| 101823 | Other | UNITED - CAD - ADULT PHP | |
| 101824 | Other | UNITED - CAD ADULT IOP | |
| 2983910 | Other | AETNA HMO - CAD EXTON | |
| 0470009 | Other | AETNA HMO - BMR PSYCH | |
| 7985197 | Other | AETNA PPO - MLA |
Emending Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 King Of Prussia Rd Ste 650, Radnor, PA 19087 Phone: 856-209-6020 | |
Life Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-644-6464 Fax: 610-964-1973 | |
Basic Bliss Life Coaching And Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 150 N Radnor Chester Rd Ste F200, Radnor, PA 19087 Phone: 267-587-6722 | |
Trustees Of The University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 Fax: 610-902-2040 | |
Trustees Of The University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 | |
Trustees Of The University Of Pennsylvania Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 250 King Of Prussia Rd, Radnor, PA 19087 Phone: 610-902-2000 |