Provider Demographics
NPI:1952875114
Name:MCPHERSON CLINICAL & CONSULTING SERVICES
Entity type:Organization
Organization Name:MCPHERSON CLINICAL & CONSULTING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MCPHERSON
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:215-586-3782
Mailing Address - Street 1:25 WASHINGTON LN STE 6A
Mailing Address - Street 2:
Mailing Address - City:WYNCOTE
Mailing Address - State:PA
Mailing Address - Zip Code:19095-1400
Mailing Address - Country:US
Mailing Address - Phone:215-586-3782
Mailing Address - Fax:267-435-9039
Practice Address - Street 1:25 WASHINGTON LN STE 6A
Practice Address - Street 2:
Practice Address - City:WYNCOTE
Practice Address - State:PA
Practice Address - Zip Code:19095-1400
Practice Address - Country:US
Practice Address - Phone:215-586-3782
Practice Address - Fax:267-435-9039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-21
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral Health
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty