| Psychiatric Edge Llc | |
|
851 Duportail Rd Fl 2 Chesterbrook PA 19087-5575 | |
| (856) 699-1719 | |
| (856) 249-9109 |
| Full Name | Psychiatric Edge Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 851 Duportail Rd Fl 2, Chesterbrook, Pennsylvania |
| Authorized Official Name and Position | Joseph Richard Gagnon (OWNER) |
| Authorized Official Contact | 8566991719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychiatric Edge Llc 851 Duportail Rd Fl 2 Chesterbrook PA 19087-5575 Ph: (856) 699-1719 | Psychiatric Edge Llc 851 Duportail Rd Fl 2 Chesterbrook PA 19087-5575 Ph: (856) 699-1719 |
| NPI Number | 1659135986 |
|---|---|
| Provider Enumeration Date | 02/07/2024 |
| Last Update Date | 11/24/2025 |
| Certification Date | 11/24/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659135986 | NPI | - | NPPES |
The Interaction Lab Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 44 Rampart Dr, Chesterbrook, PA 19087 Phone: 516-469-0353 | |
Theodora Malinowski, Psyd, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 281 Valley Stream Ln, Chesterbrook, PA 19087 Phone: 719-396-4167 |