Provider Demographics
NPI:1619129483
Name:THE CENTER FOR EMOTIONAL HEALTH OF GREATER PHILADELPHIA
Entity Type:Organization
Organization Name:THE CENTER FOR EMOTIONAL HEALTH OF GREATER PHILADELPHIA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARLA
Authorized Official - Middle Name:W
Authorized Official - Last Name:DEIBLER
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:609-304-6944
Mailing Address - Street 1:37 STONEHAM DR
Mailing Address - Street 2:
Mailing Address - City:DELRAN
Mailing Address - State:NJ
Mailing Address - Zip Code:08075-1345
Mailing Address - Country:US
Mailing Address - Phone:609-304-6944
Mailing Address - Fax:
Practice Address - Street 1:37 STONEHAM DR
Practice Address - Street 2:
Practice Address - City:DELRAN
Practice Address - State:NJ
Practice Address - Zip Code:08075-1345
Practice Address - Country:US
Practice Address - Phone:609-304-6944
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ35SI00438000261QM0801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)