Lift Off Therapy Center LLC
NPI #1225653744 in Wayne, Pennsylvania
Provider Information
- NPI Number
- 1225653744
- Entity Type
- Organization
- Organization Name
- Lift Off Therapy Center LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jun 10, 2020
- Last Updated
- Jun 10, 2020
Practice Location
- Address
- 121 N WAYNE AVE STE 304
- City
- Wayne
- State
- Pennsylvania
- ZIP Code
- 19087-3542
- Phone
- (610) 601-2748
Authorized Official
- Name
- BRIAN ROBERT MCMANUS, PSY.D.
- Title
- OWNER
- Phone
- (610) 601-2748
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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