| NPI | 1376768127 | 
|---|---|
| Doing Business As | PSYCHPHILLY | 
| Entity Type | Organization | 
| Authorized Contact | TRACEY JONES President 215-923-2690  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD064120L)  | 
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: PA MD064120L)  | 
| Enumeration Date | 2007-04-16 | 
| Last Update Date | 2023-07-07 |