Provider Demographics
NPI:1477860088
Name:NEUROLOGIC HEALTH ASSOCIATES, P.C.
Entity Type:Organization
Organization Name:NEUROLOGIC HEALTH ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCARREN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:610-831-5200
Mailing Address - Street 1:555 SECOND AVE
Mailing Address - Street 2:SUITE C850
Mailing Address - City:COLLEGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-3635
Mailing Address - Country:US
Mailing Address - Phone:610-831-5200
Mailing Address - Fax:610-831-5600
Practice Address - Street 1:555 SECOND AVE
Practice Address - Street 2:SUITE C850
Practice Address - City:COLLEGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:19426-3635
Practice Address - Country:US
Practice Address - Phone:610-831-5200
Practice Address - Fax:610-831-5600
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-02
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2084N0400X
PA05007198L2084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurologyGroup - Single Specialty