A Quiet Place To Heal, Llc | |
701 E Baltimore Pike Ste C Kennett Square PA 19348-2400 | |
(215) 817-9828 | |
Not Available |
Full Name | A Quiet Place To Heal, Llc |
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Speciality | Psychologist |
Location | 701 E Baltimore Pike Ste C, Kennett Square, Pennsylvania |
Authorized Official Name and Position | Kathleen Mcdonald (OWNER) |
Authorized Official Contact | 2158179828 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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A Quiet Place To Heal, Llc 701 E Baltimore Pike Ste C Kennett Square PA 19348-2400 Ph: (215) 817-9828 | A Quiet Place To Heal, Llc 701 E Baltimore Pike Ste C Kennett Square PA 19348-2400 Ph: (215) 817-9828 |
NPI Number | 1679132682 |
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Provider Enumeration Date | 06/12/2019 |
Last Update Date | 09/25/2023 |
Certification Date | 09/25/2023 |
Medicare PECOS PAC ID | 8820488125 |
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Medicare Enrollment ID | O20211130002378 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679132682 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Kathleen E Mcdonald |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1174641195 PECOS PAC ID: 3577826783 Enrollment ID: I20180420000588 |
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