| Philadelphia Concussion Specialists | |
|
3300 Township Line Rd Drexel Hill PA 19026-1925 | |
| (484) 818-2225 | |
| (866) 818-4032 |
| Full Name | Philadelphia Concussion Specialists |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3300 Township Line Rd, Drexel Hill, Pennsylvania |
| Authorized Official Name and Position | Stephen A Russo (FOUNDER & CLINICAL DIRECTOR) |
| Authorized Official Contact | 4848182225 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Philadelphia Concussion Specialists Po Box 741 Media PA 19063-0741 Ph: (484) 818-2225 | Philadelphia Concussion Specialists 3300 Township Line Rd Drexel Hill PA 19026-1925 Ph: (484) 818-2225 |
| NPI Number | 1831732007 |
|---|---|
| Provider Enumeration Date | 10/21/2019 |
| Last Update Date | 02/08/2020 |
| Certification Date | 02/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831732007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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