Dr Michael A Destefano, PHD - Psychologist in Bryn Mawr, PA

Dr Michael A Destefano, PHD is a Psychologist based in Bryn Mawr, Pennsylvania. Dr Michael A Destefano is licensed to practice in Pennsylvania (license number PS004910L) and his current practice location is 14 S Bryn Mawr Ave, Suite 205, Bryn Mawr, Pennsylvania. He can be reached at his office (for appointments etc.) via phone at (610) 525-4828.

NPI number for Dr Michael A Destefano is 1982972378 and his current mailing address is 119 Kenilworth Rd, Merion Station, Pennsylvania. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1982972378.

Contact Information

Dr Michael A Destefano, PHD
14 S Bryn Mawr Ave, Suite 205,
Bryn Mawr, PA 19010-3216
(610) 525-4828
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Michael A Destefano
GenderMale
SpecialityPsychologist
Location14 S Bryn Mawr Ave, Bryn Mawr, Pennsylvania
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1982972378
  • Provider Enumeration Date: 12/13/2011
  • Last Update Date: 12/13/2011

Medical Identifiers

Medical identifiers for Dr Michael A Destefano such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982972378NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PS004910L (Pennsylvania)Primary
103TC0700XPsychologist - Clinical PS004910L (Pennsylvania)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent PS004910L (Pennsylvania)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Michael A Destefano is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Michael A Destefano, PHD
119 Kenilworth Rd,
Merion Station, PA 19066-1309

Ph: (610) 246-2534
Dr Michael A Destefano, PHD
14 S Bryn Mawr Ave, Suite 205,
Bryn Mawr, PA 19010-3216

Ph: (610) 525-4828

Reviews and Comments


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