Timothy Gladson, LPC | |
600 Maple Ave Ste 15, Honesdale, PA 18431-1460 | |
(570) 253-8219 | |
Not Available |
Full Name | Timothy Gladson |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 600 Maple Ave Ste 15, Honesdale, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093287526 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | PC010976 (Pennsylvania) | Primary |
Entity Name | Wayne Memorial Community Health Centers |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1952395121 PECOS PAC ID: 3072598937 Enrollment ID: O20040623001109 |
Mailing Address | Practice Location Address |
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Timothy Gladson, LPC 601 Park St, Honesdale, PA 18431-1445 Ph: () - | Timothy Gladson, LPC 600 Maple Ave Ste 15, Honesdale, PA 18431-1460 Ph: (570) 253-8219 |
David Steven Wolf, Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Main St Ste 400, Honesdale, PA 18431 Phone: 570-470-2610 | |
Kristina Nicole Peary, L.P.C. Counselor Medicare: Medicare Enrolled Practice Location: 602 Church St, Honesdale, PA 18431 Phone: 570-253-6621 Fax: 570-253-4707 | |
Susan Martha Thompson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 61 Commercial St Suites G & H, Honesdale, PA 18431 Phone: 570-352-4997 | |
Ms. Amanda Leigh Vitali, LPC Counselor Medicare: Medicare Enrolled Practice Location: 403 Spinner Rd, Honesdale, PA 18431 Phone: 570-253-9323 | |
Brittney Tunilo, Counselor Medicare: Medicare Enrolled Practice Location: 616 Main St Ste 303, Honesdale, PA 18431 Phone: 570-504-2697 | |
Amy Elizabeth Williams, MA, ATR-BC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 951 Main St, Honesdale, PA 18431 Phone: 570-280-6321 |