Main Line Integrative Psychiatry
NPI #1457227084 in Bala Cynwyd, Pennsylvania
Provider Information
- NPI Number
- 1457227084
- Entity Type
- Organization
- Organization Name
- Main Line Integrative Psychiatry
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Oct 13, 2025
- Last Updated
- Oct 13, 2025
Practice Location
- Address
- 10 UNION AVE APT 301
- City
- Bala Cynwyd
- State
- Pennsylvania
- ZIP Code
- 19004-3421
- Phone
- (484) 222-0314
Authorized Official
- Name
- DR. TIMOTHY ROBERT DEROSA, MD
- Title
- OWNER
- Phone
- (484) 222-0314
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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