Organization Name: | WHITEMARSH BEHAVIORAL HEALTHCARE INC. |
NPI Number: | 1063526689 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | THERESA SCHOLL (OWNER) |
Mailing Address: | 600 Germantown Pike Lafayette Hill |
State: | PA US |
Postal Code: | 194441800 |
Phone Number: | 6108254450 |
Fax Number: | 6109415532 |
NPI Enumeration Date: | 08/19/2006 |
NPI Last Update Date: | 10/09/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | PS002417L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |