Main Line Psychiatric Assoc. Ltd
NPI #1487768487 in Wynnewood, Pennsylvania
Provider Information
- NPI Number
- 1487768487
- Entity Type
- Organization
- Organization Name
- Main Line Psychiatric Assoc. Ltd
- Primary Specialty
- Psychiatry & Neurology - Psychiatry
- Enumeration Date
- Aug 18, 2006
- Last Updated
- Aug 18, 2008
Practice Location
- Address
- 100 LANCASTER AVENUE
- Address 2
- 441 LANKENAU MEDICAL BUILDING
- City
- Wynnewood
- State
- Pennsylvania
- ZIP Code
- 19096
- Phone
- (610) 457-3744
Authorized Official
- Name
- DEWITT H MONTGOMERY JR., MD
- Title
- PRESIDENT
- Phone
- (610) 457-3744
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatry & Neurology - Psychiatry — Psychiatry |
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