Organization · Type 2 NPI

Main Line Affiliates

Psychiatry Physician · Radnor, PA

NPI number 1083777239 Active

Practice location

1 Radnor Corporate Ctr, Suite 400
Radnor, PA 19087-4515

Mailing address

950 E Haverford Rd, Suite 110
Bryn Mawr, PA 19010-3850

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Clinical Neuropsychologist 103G00000XNone listed
Psychologist 103T00000XNone listed
Clinical Psychologist 103TC0700XNone listed
Rehabilitation Psychologist 103TR0400XNone listed
Psychiatry Physician Primary 2084P0800XNone listed
Addiction Psychiatry Physician 2084P0802XNone listed
Child & Adolescent Psychiatry Physician 2084P0804XNone listed
Adult Mental Health Clinic/Center 261QM0850XNone listed
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X237078 (PA)
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X151081 (PA)

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

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About NPI 1083777239

Main Line Affiliates's National Provider Identifier is 1083777239, issued on Dec 19, 2006. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in Radnor, PA. The record was last updated on May 18, 2016.