Elizabeth Christina Ford, LPC | |
337 Moore Building, Penn State University, University Park, PA 16801-3231 | |
(814) 865-2191 | |
Not Available |
Full Name | Elizabeth Christina Ford |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 337 Moore Building, University Park, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912594128 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC012795 (Pennsylvania) | Primary |
Entity Name | The Pennsylvania State University |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1386784593 PECOS PAC ID: 8426002908 Enrollment ID: O20050308000633 |
Mailing Address | Practice Location Address |
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Elizabeth Christina Ford, LPC 337 Moore Building, Penn State University, University Park, PA 16801-3231 Ph: (814) 865-2191 | Elizabeth Christina Ford, LPC 337 Moore Building, Penn State University, University Park, PA 16801-3231 Ph: (814) 865-2191 |
Karen Kingera Burgos, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 337 Bruce V. Moore Building, University Park, PA 16802 Phone: 814-865-9121 Fax: 814-863-1331 | |
Ashley Lyn Schrag, LPC Counselor Medicare: Medicare Enrolled Practice Location: 331 Moore Bldg, University Park, PA 16802 Phone: 814-865-2191 | |
Jonathan Stube, M.ED, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 314 Moore Bldg, University Park, PA 16802 Phone: 814-865-2191 |