Provider Demographics
NPI:1245490192
Name:WEST CHESTER PSYCHIATRIC ASSOCIATES
Entity type:Organization
Organization Name:WEST CHESTER PSYCHIATRIC ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:B
Authorized Official - Last Name:BRYER
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:610-431-3575
Mailing Address - Street 1:1515 W CHESTER PIKE STE B4
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19382-7781
Mailing Address - Country:US
Mailing Address - Phone:610-431-3575
Mailing Address - Fax:610-431-3657
Practice Address - Street 1:1515 W CHESTER PIKE STE B4
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-7781
Practice Address - Country:US
Practice Address - Phone:610-431-3575
Practice Address - Fax:610-431-3657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004296L261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health