| Abloom Psychological Services, Pllc | |
|
4520 Old William Penn Hwy Ste 200 Murrysville PA 15668-1907 | |
| (724) 882-2339 | |
| Not Available |
| Full Name | Abloom Psychological Services, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4520 Old William Penn Hwy Ste 200, Murrysville, Pennsylvania |
| Authorized Official Name and Position | Amanda Viola Harris (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7248822339 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abloom Psychological Services, Pllc 4520 Old William Penn Hwy Ste 200 Murrysville PA 15668-1907 Ph: (724) 882-2339 | Abloom Psychological Services, Pllc 4520 Old William Penn Hwy Ste 200 Murrysville PA 15668-1907 Ph: (724) 882-2339 |
| NPI Number | 1558113969 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 8325480791 |
|---|---|
| Medicare Enrollment ID | O20240530002912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558113969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Amanda Viola Harris |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710598982 PECOS PAC ID: 1254745557 Enrollment ID: I20240530003359 |
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