Provider Demographics
NPI:1063620490
Name:ALLIED ASSOCIATES IN MENTAL HEALTH, INC.
Entity type:Organization
Organization Name:ALLIED ASSOCIATES IN MENTAL HEALTH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:RONALD
Authorized Official - Last Name:GRECCO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:215-242-0900
Mailing Address - Street 1:7318 GERMANTOWN AVE
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19119-1725
Mailing Address - Country:US
Mailing Address - Phone:215-242-0900
Mailing Address - Fax:215-242-0912
Practice Address - Street 1:7318 GERMANTOWN AVENUE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19119
Practice Address - Country:US
Practice Address - Phone:215-242-0900
Practice Address - Fax:215-242-0912
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPS004927L103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAGR796827OtherMEDICARE ID
PAGR796827OtherMEDICARE ID