Center for Psychological Services
NPI #1780886184 in Ardmore, Pennsylvania
Provider Information
- NPI Number
- 1780886184
- Entity Type
- Organization
- Organization Name
- Center for Psychological Services
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jun 5, 2007
- Last Updated
- Jul 21, 2022
Practice Location
- Address
- 125 COULTER AVE
- City
- Ardmore
- State
- Pennsylvania
- ZIP Code
- 19003
- Phone
- (610) 642-4873
Authorized Official
- Name
- DR. JUDITH TEMPLE JACKSON, PHD
- Title
- MANAGER
- Phone
- (610) 642-4873
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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