Provider Demographics
NPI:1245375666
Name:MARGOLIS BERMAN BYRNE HEALTH PSYCHOLOGY, P.C.
Entity type:Organization
Organization Name:MARGOLIS BERMAN BYRNE HEALTH PSYCHOLOGY, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CORPORATE SEC TREASURER OFFICE MNGR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-592-0139
Mailing Address - Street 1:1015 CHESTNUT ST
Mailing Address - Street 2:STE 901
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-4309
Mailing Address - Country:US
Mailing Address - Phone:215-592-0139
Mailing Address - Fax:215-592-1675
Practice Address - Street 1:1015 CHESTNUT ST
Practice Address - Street 2:STE 901
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19107-4309
Practice Address - Country:US
Practice Address - Phone:215-592-0139
Practice Address - Fax:215-592-1675
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
4477438OtherAETNA
PA485456OtherHIGHMARK BLUE SHIELD
PA0139559000OtherINDEPENDENCE BLUE CROSS
4477438OtherAETNA