Jonathan D Moe, MS | |
10 N Main St, Cortland, NY 13045-2130 | |
(607) 753-0234 | |
(607) 753-0286 |
Full Name | Jonathan D Moe |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 10 N Main St, Cortland, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053653246 | NPI | - | NPPES |
1336163963 | Medicaid | NY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 007454-01 (New York) | Primary |
Entity Name | Psychological Healthcare Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922109578 PECOS PAC ID: 7416860572 Enrollment ID: O20040317000828 |
Mailing Address | Practice Location Address |
---|---|
Jonathan D Moe, MS 10 N Main St, Cortland, NY 13045-2130 Ph: (607) 753-0234 | Jonathan D Moe, MS 10 N Main St, Cortland, NY 13045-2130 Ph: (607) 753-0234 |
Tristen E Turkow, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Main St. Ste A, Cortland, NY 13045 Phone: 607-753-0234 | |
Sarah Elizabeth Loomis, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Main St Ste A, Cortland, NY 13045 Phone: 607-753-0234 | |
Kayla Curtis, MHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St, Cortland, NY 13045 Phone: 607-753-0234 Fax: 607-299-4349 | |
Mrs. Kelley G Brown, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 N Main St, Cortland, NY 13045 Phone: 607-753-0234 Fax: 607-753-0286 | |
Wendy Hutton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Main St, Ste A, Cortland, NY 13045 Phone: 607-753-0234 | |
Doretha Michelle Baker, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Main St Ste A, Cortland, NY 13045 Phone: 607-753-0234 |