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Contact Information

MG THERAPEUTIC SERVICES LLC
100 W 6TH ST, SUITE 305
SUITE 305
MEDIA, PA19063-3228
 Phone: 484-445-4147
 Fax: 484-445-4149
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Addiction (Substance Use Disorder)

103TA0400X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MG THERAPEUTIC SERVICES LLC · (Female)

NPI Number 1578971750
Status Active
Credentials
Entity Individual
Enumeration date 07/31/2014
Last updated 10/21/2016 - About 10 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # PS017448
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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