Organization · Type 2 NPI

Vericare of Pennsylvania, P.c.

Clinical Psychologist · Philadelphia, PA

NPI number 1063452357 Active · reactivated Aug 8, 2007

Practice location

7310 Stenton Ave
Philadelphia, PA 19150-3412

Mailing address

55 Hatchetts Hill Rd
Old Lyme, CT 06371-1534

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed
Clinical Social Worker 1041C0700XNone listed
Psychiatry Physician 2084P0800XNone listed
Psychiatric/Mental Health Nurse Practitioner 363LP0808XNone listed
Psychiatric/Mental Health Clinical Nurse Specialist 364SP0808XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1063452357

Vericare of Pennsylvania, P.c.'s National Provider Identifier is 1063452357, issued on Jun 7, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 10, 2017.