Main Line Affiliates
NPI #1083777239 in Radnor, Pennsylvania
Provider Information
- NPI Number
- 1083777239
- Entity Type
- Organization
- Organization Name
- Main Line Affiliates
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Dec 19, 2006
- Last Updated
- May 18, 2016
Practice Location
- Address
- 1 RADNOR CORPORATE CTR
- Address 2
- SUITE 400
- City
- Radnor
- State
- Pennsylvania
- ZIP Code
- 19087-4515
- Phone
- (610) 254-1450
Authorized Official
- Name
- MR. MICHAEL J BUONGIORNO
- Title
- EXEC. VP & CFO
- Phone
- (484) 337-8481
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
| Psychologist |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Psychologist - Clinical — Clinical |
| Psychologist - Rehabilitation — Rehabilitation |
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
| Psychiatry & Neurology - Addiction Psychiatry — Addiction Psychiatry |
| Psychiatry & Neurology - Child & Adolescent Psychiatry — Child & Adolescent Psychiatry |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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Organizations
| Provider Name | |
|---|---|
| Trustees of the University of Pennsylvania | AI Deep Dive |
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