Edie Randall, | |
900 Heritage Dr Ste 910, Pottstown, PA 19464-9223 | |
(484) 458-5138 | |
Not Available |
Full Name | Edie Randall |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 900 Heritage Dr Ste 910, Pottstown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366059479 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PCO12565 (Pennsylvania) | Primary |
Entity Name | Concern-professional Services For Children, Youth & Families |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376845479 PECOS PAC ID: 2769659945 Enrollment ID: O20120112000122 |
Mailing Address | Practice Location Address |
---|---|
Edie Randall, 331 S 13th St, Reading, PA 19602-2049 Ph: (610) 507-6419 | Edie Randall, 900 Heritage Dr Ste 910, Pottstown, PA 19464-9223 Ph: (484) 458-5138 |
Priscilla Barnes-davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Robinson St, Pottstown, PA 19464 Phone: 484-941-0500 | |
Suzanne L Karpinski, Counselor Medicare: Not Enrolled in Medicare Practice Location: 606 W Schuylkill Rd, Apt. 317, Pottstown, PA 19465 Phone: 484-374-7652 | |
Erin Tyndall, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Robinson St, Pottstown, PA 19464 Phone: 484-941-0500 | |
Mrs. Tirtha Sikdar, BA, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Robinson Street, Pottstown, PA 19464 Phone: 484-941-0500 Fax: 484-941-0515 | |
Rosanne R Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Robinson St, Pottstown, PA 19464 Phone: 484-941-0500 | |
Joanne Beauregard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Robinson St, Pottstown, PA 19464 Phone: 484-941-0500 | |
Danielle Marie White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 11 Robinson St Ste 1, Pottstown, PA 19464 Phone: 484-402-3342 |