Judy Goldman, LCSW | |
10 Heights Dr, Wyoming, PA 18644-9347 | |
(570) 696-6890 | |
(570) 696-6890 |
Full Name | Judy Goldman |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 10 Heights Dr, Wyoming, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1487016663 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CW015581 (Pennsylvania) | Primary |
Entity Name | Monmouth Integrative Counseling Services, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265081921 PECOS PAC ID: 3173948122 Enrollment ID: O20200807000539 |
Mailing Address | Practice Location Address |
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Judy Goldman, LCSW 10 Heights Dr, Wyoming, PA 18644-9347 Ph: (570) 696-6890 | Judy Goldman, LCSW 10 Heights Dr, Wyoming, PA 18644-9347 Ph: (570) 696-6890 |
Mr. John Henry James Oraczewski, MS, NCC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 323 Bunker Hill Rd, Wyoming, PA 18644 Phone: 570-262-9956 | |
Mr. Wayne Justin Woznikaitis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 295 Wyoming Ave Ste 2e, Wyoming, PA 18644 Phone: 570-690-5356 | |
Ms. Malane Patrice Gallagher, THERAPIST Counselor Medicare: Not Enrolled in Medicare Practice Location: 530 Dennison St, Wyoming, PA 18644 Phone: 570-704-8742 |