| St Christophers Pediatric Associates Behavioral Health E Erie Avenue | |
|
160 E Erie Ave Philadelphia PA 19134-1011 | |
| (215) 427-3996 | |
| (215) 427-5237 |
| Full Name | St Christophers Pediatric Associates Behavioral Health E Erie Avenue |
|---|---|
| Speciality | Psychologist |
| Location | 160 E Erie Ave, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Charles Michael Valentino (VP OF REVENUE INTEGRITY) |
| Authorized Official Contact | 4846289380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Christophers Pediatric Associates Behavioral Health E Erie Avenue Po Box 13579 Reading PA 19612-3579 | St Christophers Pediatric Associates Behavioral Health E Erie Avenue 160 E Erie Ave Philadelphia PA 19134-1011 Ph: (215) 427-3996 |
| NPI Number | 1487343364 |
|---|---|
| Provider Enumeration Date | 05/05/2023 |
| Last Update Date | 06/02/2026 |
| Certification Date | 06/02/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487343364 | NPI | - | NPPES |
| 1037317900115 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | () | Primary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Secondary |
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