Provider Demographics
NPI:1205106358
Name:CENTER FOR HEALTH AND COPING
Entity type:Organization
Organization Name:CENTER FOR HEALTH AND COPING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:BRET
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOYER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-407-9627
Mailing Address - Street 1:506 W MOUNT AIRY AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-2948
Mailing Address - Country:US
Mailing Address - Phone:215-407-9627
Mailing Address - Fax:610-237-2627
Practice Address - Street 1:114 FORREST AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:NARBERTH
Practice Address - State:PA
Practice Address - Zip Code:19072-2218
Practice Address - Country:US
Practice Address - Phone:215-407-9627
Practice Address - Fax:610-237-2627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-06
Last Update Date:2012-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS005956-L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty