| Elwyn Of Pennsylvania And Delaware | |
|
7700 W Chester Pike Upper Darby PA 19082-1913 | |
| (610) 891-7007 | |
| Not Available |
| Full Name | Elwyn Of Pennsylvania And Delaware |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7700 W Chester Pike, Upper Darby, Pennsylvania |
| Authorized Official Name and Position | Donna K Busch (DIR. OF PAYER CONTRACTS & CREDENTIA) |
| Authorized Official Contact | 4452063028 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elwyn Of Pennsylvania And Delaware 111 Elwyn Rd Media PA 19063-4622 Ph: (445) 206-3028 | Elwyn Of Pennsylvania And Delaware 7700 W Chester Pike Upper Darby PA 19082-1913 Ph: (610) 891-7007 |
| NPI Number | 1700926052 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 02/16/2025 |
| Certification Date | 02/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700926052 | NPI | - | NPPES |
| 1000021240224 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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