OrganizationActive
Temple University of the Commonwealth System of Higher Education
NPI 1699248955 · Behavioral Neurology & Neuropsychiatry Physician · Philadelphia, PA
Provider details
- NPI number
- 1699248955
- Entity type
- Organization
- Primary specialty
- Behavioral Neurology & Neuropsychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Bridget Ferrarie, Credentialing Manager(215) 707-2433
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Cognitive & Behavioral Psychologist103TB0200X
Behavioral Health & Social Service Providers
Practice location
2300 W Master St Ste 109b
Philadelphia, PA 19121-4739
Phone: (215) 707-0499
Fax: (215) 707-0480
Approximate (ZIP-level) locationGet directions
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Other names (DBA / former)
- Doing business as
- Vaux Community Health Center
Registry dates
- Enumerated
- 2019-01-09
- Last updated
- 2019-01-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.