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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

NPI # 1578971750
LBN Legal business name MG THERAPEUTIC SERVICES LLC
Authorized official MARC GRAMATGES - (NEUROPSYCHOLOGIST)
Entity Organization
Organization subpart 1 No
Enumeration date 07/31/2014
Last updated 10/21/2016 - About 10 years ago
Identifiers
PA License # PS017448
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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