| Temple Faculty Practice Plan, Inc | |
|
100 E Lehigh Ave Ste 105 Philadelphia PA 19125-1012 | |
| (215) 707-8496 | |
| (215) 707-4086 |
| Full Name | Temple Faculty Practice Plan, Inc |
|---|---|
| Speciality | Psychologist |
| Location | 100 E Lehigh Ave Ste 105, Philadelphia, Pennsylvania |
| Authorized Official Name and Position | Tonya Woodard (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 2157073911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Temple Faculty Practice Plan, Inc 2450 W Hunting Park Ave Philadelphia PA 19129-1302 Ph: (215) 707-8496 | Temple Faculty Practice Plan, Inc 100 E Lehigh Ave Ste 105 Philadelphia PA 19125-1012 Ph: (215) 707-8496 |
| NPI Number | 1003399783 |
|---|---|
| Provider Enumeration Date | 09/10/2018 |
| Last Update Date | 09/10/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003399783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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