Mary Theresa Reaney in Broomall - Group Psychotherapy
Mary Theresa Reaney - NPI 1619193000
Mary Theresa Reaney is a Group Psychotherapy in Broomall, Pennsylvania. Mary Theresa Reaney practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Mary Theresa Reaney is 1619193000. The last update date is 2007-07-08.
Mary Theresa Reaney's current location address is 2900 Dogwood Lane, Broomall, Pennsylvania. You can contact this provider via phone number 6103533139 and fax number 6103533139. The mailing address for Mary Theresa Reaney is 2900 Dogwood Lane, Broomall, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Theresa Reaney |
|---|---|
| Address | 2900 Dogwood Lane, Broomall, Pennsylvania |
| Phone Number | 6103533139 |
| Fax Number | 6103533139 |
| Sole Proprietor | N |
| Credentials | RN MA LIC |
NPI Number Detail
| NPI Number | 1619193000 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2900 Dogwood Lane |
|---|---|
| City | Broomall |
| State | Pennsylvania (PA) |
| Post Code | 190081017 |
| Phone Number | 6103533139 |
| Fax Number | 6103533139 |
Provider's Primary Taxonomy Detail
| Speciality | Group Psychotherapy |
|---|---|
| Taxonomy | 103Tp2701X |
| Licence No | PS006708L |
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Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
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What is the unique provider identifier assigned to Mary Theresa Reaney?
The Mary Theresa Reaney has been issued the NPI (National Provider Identifier) 1619193000 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Mary Theresa Reaney?
The Mary Theresa Reaney is physically situated at 2900 Dogwood Lane, in the city of Broomall, state of PA, with the postal code 190081017.
What is the Mary Theresa Reaney's area of specialization and corresponding taxonomy classification?
The Mary Theresa Reaney's specialty field is Group Psychotherapy, and it falls under the taxonomy code 103Tp2701X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1619193000 to Mary Theresa Reaney?
The Centers for Medicare & Medicaid Services originally issued the 1619193000 to Mary Theresa Reaney on 2007-04-17.
When was the information related to Mary Theresa Reaney most recently updated or refreshed?
The details pertaining to the Mary Theresa Reaney, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.