Lisa Korzun, | |
1070 Old National Pike, Fredericktown, PA 15333-2114 | |
(724) 632-6801 | |
Not Available |
Full Name | Lisa Korzun |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1070 Old National Pike, Fredericktown, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1578012902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Centerville Clinics Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235110156 PECOS PAC ID: 7214837202 Enrollment ID: O20100720000684 |
Mailing Address | Practice Location Address |
---|---|
Lisa Korzun, 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 | Lisa Korzun, 1070 Old National Pike, Fredericktown, PA 15333-2114 Ph: (724) 632-6801 |
Shelby Duke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Maryann Fee, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Nicole Goodwin, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Chelsea Marie Wood, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Thais Irene Bagiatis, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 | |
Heather Ann Little, B.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1070 Old National Pike, Fredericktown, PA 15333 Phone: 724-632-6801 |