Provider Demographics
NPI:1629669627
Name:PEDIATRIC PSYCHOLOGY CENTER OF CHESTER COUNTY
Entity Type:Organization
Organization Name:PEDIATRIC PSYCHOLOGY CENTER OF CHESTER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:ADAMITIS
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:610-223-9356
Mailing Address - Street 1:341 E LANCASTER AVE STE 2
Mailing Address - Street 2:
Mailing Address - City:DOWNINGTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19335-2974
Mailing Address - Country:US
Mailing Address - Phone:610-723-8176
Mailing Address - Fax:
Practice Address - Street 1:341 E LANCASTER AVE STE 2
Practice Address - Street 2:
Practice Address - City:DOWNINGTOWN
Practice Address - State:PA
Practice Address - Zip Code:19335-2974
Practice Address - Country:US
Practice Address - Phone:610-723-8176
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-01
Last Update Date:2021-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Single Specialty