Summit Grove Therapy | |
26 Summit Grove Ave Ste 211 Bryn Mawr PA 19010-3230 | |
(484) 442-0478 | |
Not Available |
Full Name | Summit Grove Therapy |
---|---|
Speciality | Counselor - Professional |
Location | 26 Summit Grove Ave Ste 211, Bryn Mawr, Pennsylvania |
Authorized Official Name and Position | Sara Ralph (OWNER, THERAPIST) |
Authorized Official Contact | 7172220361 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Summit Grove Therapy 26 Summit Grove Ave Ste 211 Bryn Mawr PA 19010-3230 Ph: () - | Summit Grove Therapy 26 Summit Grove Ave Ste 211 Bryn Mawr PA 19010-3230 Ph: (484) 442-0478 |
NPI Number | 1083100879 |
---|---|
Provider Enumeration Date | 07/05/2018 |
Last Update Date | 07/05/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083100879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC006299 (Pennsylvania) | Primary |
1041C0700X | Social Worker - Clinical | CW012101 (Pennsylvania) | Secondary |
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