Provider Demographics
NPI:1720164429
Name:IRON PSYCH WORKS, INC.
Entity Type:Organization
Organization Name:IRON PSYCH WORKS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SPORT, EXERCISE & HEALTH CONSULTAT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:J
Authorized Official - Last Name:BENDIG
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD/ABD
Authorized Official - Phone:484-472-7530
Mailing Address - Street 1:PO BOX 330
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-0330
Mailing Address - Country:US
Mailing Address - Phone:484-472-7530
Mailing Address - Fax:
Practice Address - Street 1:953 DALE RD
Practice Address - Street 2:
Practice Address - City:SECANE
Practice Address - State:PA
Practice Address - Zip Code:19018-3414
Practice Address - Country:US
Practice Address - Phone:484-472-7530
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-27
Last Update Date:2009-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TE1100XBehavioral Health & Social Service ProvidersPsychologistExercise & SportsGroup - Single Specialty