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FORMS

Intake CLINICAL Forms

Intake ADMIN Forms

Release of Information Form

 

​1420 Walnut Street

Suite 920

Philadelphia, PA 19102

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Dr. Lopez 

(215) 385-3305

(203) 869-5509

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Dr. Wortman

(215) 914-5710

(203) 869- 5505

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Office Fax
(203) 869-5504

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Office Manager
(475) 328-0262 

text & voice

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Main Line Office

191 Presidential Blvd

Suite 111 B

Bala Cynwyd, PA, 19004

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Greenwich Psych

Connecticut

15 E. Putnam Ave

Suite 3190

Greenwich, CT 06830

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Opening Hours:

Mon - Fri: 8am - 7pm 

​​Saturday: 8am - 2pm ​

Sunday: Closed

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