| Adscensio Psychology Telehealth Llc | |
|
319 Stambaugh Ave Ste 100 Sharon PA 16146-4123 | |
| (412) 407-2654 | |
| Not Available |
| Full Name | Adscensio Psychology Telehealth Llc |
|---|---|
| Speciality | Psychologist |
| Location | 319 Stambaugh Ave Ste 100, Sharon, Pennsylvania |
| Authorized Official Name and Position | Lisa A. Phillips (CEO/PRESIDENT) |
| Authorized Official Contact | 7248660741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Adscensio Psychology Telehealth Llc 319 Stambaugh Ave Ste 100 Sharon PA 16146-4123 Ph: (412) 407-2654 | Adscensio Psychology Telehealth Llc 319 Stambaugh Ave Ste 100 Sharon PA 16146-4123 Ph: (412) 407-2654 |
| NPI Number | 1245803964 |
|---|---|
| Provider Enumeration Date | 07/20/2021 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Medicare PECOS PAC ID | 5092108522 |
|---|---|
| Medicare Enrollment ID | O20220207000232 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245803964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa Ann Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801995527 PECOS PAC ID: 2466627344 Enrollment ID: I20111205000062 |
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