Provider Demographics
NPI:1225694755
Name:CATHERINE QUINN-KERINS PHD LLC
Entity Type:Organization
Organization Name:CATHERINE QUINN-KERINS PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINN-KERINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD LLC
Authorized Official - Phone:610-631-2929
Mailing Address - Street 1:2960 W GERMANTOWN PIKE
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-1060
Mailing Address - Country:US
Mailing Address - Phone:610-631-9298
Mailing Address - Fax:610-631-5282
Practice Address - Street 1:2960 W GERMANTOWN PIKE
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-1060
Practice Address - Country:US
Practice Address - Phone:610-631-9298
Practice Address - Fax:610-631-5282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-09
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1881751485OtherAETNA, INDEPENDENCE BC/BS, KEYSTONE, PERSONAL CHOICE, HIGHMARK, UBH, BEACON