Provider Demographics
NPI:1235459520
Name:PAMELA J RALPH MD PC INC
Entity Type:Organization
Organization Name:PAMELA J RALPH MD PC INC
Other - Org Name:SPECTRUM BEHAVIORAL SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:JOANN
Authorized Official - Last Name:RALPH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:484-472-7430
Mailing Address - Street 1:1489 BALTIMORE PIKE
Mailing Address - Street 2:BUILDING #300, SUITE #300
Mailing Address - City:SPRINGFIELD
Mailing Address - State:PA
Mailing Address - Zip Code:19064-3958
Mailing Address - Country:US
Mailing Address - Phone:484-472-7430
Mailing Address - Fax:484-472-7718
Practice Address - Street 1:1489 BALTIMORE PIKE
Practice Address - Street 2:BUILDING #300, SUITE #300
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3958
Practice Address - Country:US
Practice Address - Phone:484-472-7430
Practice Address - Fax:484-472-7718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-09
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health