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Full Spectrum Llc
Adult Mental Health Clinic/Center in Bryn Mawr, Pennsylvania
NPI 1538496138

Full Spectrum Llc is an Adult Mental Health Clinic/Center based in Bala Cynwyd, PA and is specialized in Adult Mental Health. Full Spectrum Llc practices in Bryn Mawr, PA. The NPI Number for Full Spectrum Llc is 1538496138 and holds a License No. PS016629 (Pennsylvania).

The current practice location address for Full Spectrum Llc is 925 Roscommon Rd, Bryn Mawr, PA and can be reached out via phone at 215-313-0057.

Location: 925 Roscommon Rd, Bryn Mawr, PA, 19004-1501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1538496138
Provider Name
Full Spectrum Llc
Credential
Provider Entity Type
Organization
Address
925 Roscommon Rd, Bryn Mawr, PA, 19004-1501
Phone Number
215-313-0057
Fax Number
Provider Enumeration Date
11/03/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PTAN 039191 01 PA MEDICARE PTAN: 039191
institution
Provider Business Practice Location Address Details
Address
925 Roscommon Rd
City
Bryn Mawr
State
Pennsylvania
Zip
19010-1842
Phone Number
215-313-0057
Fax Number
person
Provider Business Mailing Address Details
Address
925 Roscommon Rd
City
Bryn Mawr
State
Pennsylvania
Zip
19010-1842
Phone Number
215-313-0057
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
PS016629 (Pennsylvania)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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