Adelphoi Village, Inc. | |
1119 Village Way Latrobe PA 15650-5201 | |
(724) 520-1111 | |
(724) 520-1878 |
Full Name | Adelphoi Village, Inc. |
---|---|
Speciality | Psychologist |
Location | 1119 Village Way, Latrobe, Pennsylvania |
Authorized Official Name and Position | Michelle Leigh Hershberger (REVENUE CYCLE MANAGER) |
Authorized Official Contact | 7248047193 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adelphoi Village, Inc. 1119 Village Way Latrobe PA 15650-5201 Ph: (724) 520-1111 | Adelphoi Village, Inc. 1119 Village Way Latrobe PA 15650-5201 Ph: (724) 520-1111 |
NPI Number | 1013034750 |
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Provider Enumeration Date | 03/26/2007 |
Last Update Date | 08/13/2024 |
Certification Date | 08/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013034750 | NPI | - | NPPES |
1007447300020 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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