Provider First Line Business Practice Location Address:
SPRINGFIELD PSYCHOLOGICAL
Provider Second Line Business Practice Location Address:
1420 WALNUT ST. SUITE 1500
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19120
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-544-2100
Provider Business Practice Location Address Fax Number:
610-604-9510
Provider Enumeration Date:
03/12/2019