George David Lutchendorf, | |
1517 Durham Rd, Penndel, PA 19047-5707 | |
(267) 587-2300 | |
Not Available |
Full Name | George David Lutchendorf |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1517 Durham Rd, Penndel, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659854354 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Penndel Mental Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710019096 PECOS PAC ID: 0042293300 Enrollment ID: O20040609000667 |
Mailing Address | Practice Location Address |
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George David Lutchendorf, 2005 Cabot Blvd W, Langhorne, PA 19047-1885 Ph: () - | George David Lutchendorf, 1517 Durham Rd, Penndel, PA 19047-5707 Ph: (267) 587-2300 |
Edward Donahue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 267-587-2300 | |
John Nolan, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 267-587-2300 | |
Gabriella Ruiz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 267-587-2300 | |
Nathan Ernst, Counselor Medicare: Accepting Medicare Assignments Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 215-752-1541 | |
Kripaya Varghese, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 267-587-2300 | |
Miriam Kvatsashvili, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 267-587-2300 | |
Christina Pica-johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 215-752-1541 |