Robert Clark, | |
300 Mulberry St, Suite 301, Scranton, PA 18503-1225 | |
(570) 955-5459 | |
(570) 955-5528 |
Full Name | Robert Clark |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 300 Mulberry St, Scranton, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1457744609 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC007969 (Pennsylvania) | Primary |
Entity Name | Integrative Counseling Services, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1326462599 PECOS PAC ID: 5698046357 Enrollment ID: O20170731000834 |
Mailing Address | Practice Location Address |
---|---|
Robert Clark, 300 Mulberry St, Suite 301, Scranton, PA 18503-1225 Ph: (570) 955-5459 | Robert Clark, 300 Mulberry St, Suite 301, Scranton, PA 18503-1225 Ph: (570) 955-5459 |
Carissa Sheehan, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 329 Cherry St, Scranton, PA 18505 Phone: 570-348-6100 | |
Paula Brust, MA, LPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2200 Ash St, Scranton, PA 18510 Phone: 570-969-2510 Fax: 570-383-0663 | |
Mrs. Mindy A White, MS Counselor Medicare: Medicare Enrolled Practice Location: 300 Mulberry St Ste 201, Scranton, PA 18503 Phone: 570-955-6479 Fax: 570-955-5528 | |
Angela Gilgallon, CRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 431 Rear Wyoming Ave, Scranton, PA 18503 Phone: 570-880-7614 | |
Tiffany Marie Mccary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 851 Commerce Blvd, Scranton, PA 18519 Phone: 570-489-5561 Fax: 570-489-5563 | |
Ms. Dorothy Ann Dean, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1035 Beech St, Scranton, PA 18505 Phone: 570-445-0258 | |
Yekaterina Tarkovsky, Counselor Medicare: Medicare Enrolled Practice Location: 228 S Main Ave, Scranton, PA 18504 Phone: 570-904-7363 |