Forensic Mental Health Service, LLC
NPI #1598167553 in Philadelphia, Pennsylvania
Provider Information
- NPI Number
- 1598167553
- Entity Type
- Organization
- Organization Name
- Forensic Mental Health Service, LLC
- Primary Specialty
- Psychologist - Group Psychotherapy
- Enumeration Date
- Sep 22, 2014
- Last Updated
- Apr 10, 2015
Practice Location
- Address
- 1241 VINE ST
- City
- Philadelphia
- State
- Pennsylvania
- ZIP Code
- 19107-1111
- Phone
- (215) 514-1170
Authorized Official
- Name
- DR. WILLIAM RUSSELL, PH.D.
- Title
- DIRECTOR
- Phone
- (215) 514-1170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Group Psychotherapy — Group Psychotherapy |
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