| Alison Niblick | |
|
4011 Schaeffer Dr Walnutport PA 18088-9593 | |
| (484) 714-0376 | |
| Not Available |
| Full Name | Alison Niblick |
|---|---|
| Speciality | Clinic/Center |
| Location | 4011 Schaeffer Dr, Walnutport, Pennsylvania |
| Authorized Official Name and Position | Alison Niblick (LICENSED PSYCHOLOGIST, BUSINESS OWN) |
| Authorized Official Contact | 4847140376 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alison Niblick 4011 Schaeffer Dr Walnutport PA 18088-9593 Ph: (484) 714-0376 | Alison Niblick 4011 Schaeffer Dr Walnutport PA 18088-9593 Ph: (484) 714-0376 |
| NPI Number | 1134879059 |
|---|---|
| Provider Enumeration Date | 03/24/2022 |
| Last Update Date | 03/24/2022 |
| Certification Date | 03/24/2022 |
| Medicare PECOS PAC ID | 6002296084 |
|---|---|
| Medicare Enrollment ID | O20220708000039 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134879059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Alison Niblick |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801216296 PECOS PAC ID: 7810377892 Enrollment ID: I20220708000043 |
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