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Institutional Psychiatric Consultation Services

Psychiatry & Neurology, Psychiatry in Malvern, PA. Organization (NPI-2).

NPI number1861693673
StatusActive
Last updated in NPPESJul 31, 2019

Details

NPI
1861693673
Entity type
Organization (NPI-2)
Legal business name
Institutional Psychiatric Consultation Services
Organization subpart
No
Enumeration date
May 30, 2007
Last updated
Jul 31, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2084P0800X Psychiatry & Neurology, PsychiatryMD050187-lPAYes

Practice location

414 Paoli Pike
Malvern, PA 19355

Phone 610-651-0657 · Fax 610-722-0704

Mailing address

414 Paoli Pine
Malvern, PA 19355-3311

Phone 610-324-4930 · Fax 610-722-0704

Authorized official

Dale Panzer
Chairman Owner
6103244930

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