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Dr. Charles Wisniewski, DO
Adolescent and Children Mental Health Clinic/Center in Philadelphia, Pennsylvania
NPI 1770997587

Charles Wisniewski is an Adolescent and Children Mental Health Clinic/Center based in Philadelphia, PA and is specialized in Adolescent and Children Mental Health. Charles Wisniewski practices in Philadelphia, PA and has the professional credentials of DO. The NPI Number for Charles Wisniewski is 1770997587 and holds a License No. OS019121 (Pennsylvania).

The current practice location address for Charles Wisniewski is 4641 Roosevelt Blvd, Philadelphia, PA and can be reached out via phone at 215-831-2600.

Location: 4641 Roosevelt Blvd, Philadelphia, PA, 19124-2343
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770997587
Provider Name
Charles Wisniewski
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
4641 Roosevelt Blvd, Philadelphia, PA, 19124-2343
Phone Number
215-831-2600
Fax Number
Provider Enumeration Date
06/19/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1770997587 05 PA
institution
Provider Business Practice Location Address Details
Address
4641 Roosevelt Blvd
City
Philadelphia
State
Pennsylvania
Zip
19124-2343
Phone Number
215-831-2600
Fax Number
person
Provider Business Mailing Address Details
Address
4641 Roosevelt Blvd
City
Philadelphia
State
Pennsylvania
Zip
19124-2343
Phone Number
215-831-2600
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
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Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
OS019121 (Pennsylvania)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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