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Contact Information

UNIVERSITY OF PENN PSYCHIATRY
3400 SPRUCE ST
PHILADELPHIA, PA19104-4206
 Phone: 866-301-4724
 Fax: 215-662-7200
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Addiction Psychiatry

2084P0802X 86 Physician/Neuropsychiatry
 

Child & Adolescent Psychiatry

2084P0804X 86 Physician/Neuropsychiatry
 

Geriatric Psychiatry

2084P0805X 86 Physician/Neuropsychiatry
 

Neurology with Special Qualifications in Child Neurology

2084N0402X 13 Physician/Neurology
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for UNIVERSITY OF PENN PSYCHIATRY · (Female)

NPI Number 1487667978
Status Active
Credentials
Entity Individual
Enumeration date 08/14/2006
Last updated 07/15/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers
  • NJ Medicaid 8749400
  • PA Medicaid 0007839500
  • PA Other 039240 BLUE SHIELD
  • PA Other CA5037 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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