Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AMIRAH MACON
Active Sole ProprietorAMIRAH MACON is a Community/Behavioral Health healthcare provider located in GLENSIDE, Pennsylvania. NPI 1538914080 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · GLENSIDE, PA
Registration Details
- NPI Number
- 1538914080
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 18, 2024 (2.3629989391774 yrs)
- Last Updated
- Apr 18, 2024
- License
-
BH007060 (PA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
154 BICKLEY RD FL 3GLENSIDE, PA, 190384537Browse PA providers · Browse ZIP 19038
- Phone
- 2152063358
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.