| A.s.harper, P.c. | |
|
225 Penn Ave #1501 Wilkinsburg PA 15221-2148 | |
| (412) 247-2292 | |
| Not Available |
| Full Name | A.s.harper, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 225 Penn Ave, Wilkinsburg, Pennsylvania |
| Authorized Official Name and Position | Aylene S. Harper (PSYCHOLOGIST) |
| Authorized Official Contact | 4122472292 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| A.s.harper, P.c. 322 Mall Blvd #218 Monroeville PA 15146-2241 Ph: (412) 823-1790 | A.s.harper, P.c. 225 Penn Ave #1501 Wilkinsburg PA 15221-2148 Ph: (412) 247-2292 |
| NPI Number | 1962596916 |
|---|---|
| Provider Enumeration Date | 10/03/2006 |
| Last Update Date | 12/20/2014 |
| Medicare PECOS PAC ID | 7214903152 |
|---|---|
| Medicare Enrollment ID | O20040902000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962596916 | NPI | - | NPPES |
| 1637945 | Other | PA | BLUE SHIELD GROUP |
| 127083 | Other | PA | BLUE SHIELD INDIVIDUAL |
| 0015466100001 | Medicaid | PA | |
| DC7350 | Other | PA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS006259L (Pennsylvania) | Primary |
| Provider Name | Aylene S Harper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316134778 PECOS PAC ID: 0749256683 Enrollment ID: I20040908000190 |
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