Mr Edward T Wagner Iii, LPC | |
1831 Swamp Pike Ste 100, Gilbertsville, PA 19525-8927 | |
(610) 484-0736 | |
Not Available |
Full Name | Mr Edward T Wagner Iii |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 1831 Swamp Pike Ste 100, Gilbertsville, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790310860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | PC012234 (Pennsylvania) | Primary |
Entity Name | Spring-ford Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124297197 PECOS PAC ID: 1052480431 Enrollment ID: O20100415000595 |
Mailing Address | Practice Location Address |
---|---|
Mr Edward T Wagner Iii, LPC 2583 Crabapple Ct, Gilbertsville, PA 19525-8839 Ph: (610) 850-3859 | Mr Edward T Wagner Iii, LPC 1831 Swamp Pike Ste 100, Gilbertsville, PA 19525-8927 Ph: (610) 484-0736 |
Shirley Kay Johnson, LICENSED GRIEF COUNS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Grosser Rd Ste 2a, Gilbertsville, PA 19525 Phone: 484-680-5098 Fax: 610-367-0101 | |
Mr. Daniel G Berg Ii, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2869 Fagleysville Rd, Gilbertsville, PA 19525 Phone: 610-741-4904 | |
Mrs. Kelley Lynn Giannetti, L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 1314 E Philadelphia Ave, Gilbertsville, PA 19525 Phone: 215-859-1252 | |
Dr. Tracy Lindh Farber, MA, PHARMD Counselor Medicare: Not Enrolled in Medicare Practice Location: 173 Holly Rd, Gilbertsville, PA 19525 Phone: 610-473-3204 | |
Erika Leigh Andersen, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 327 Bow Ln, Gilbertsville, PA 19525 Phone: 484-995-9851 | |
Mr. Joseph G Coyne, M.ED, BSL Counselor Medicare: Not Enrolled in Medicare Practice Location: 2430 Magnolia Dr, Gilbertsville, PA 19525 Phone: 610-329-4793 |