| Aviva Gaskill, Phd, Pllc | |
|
308 East Lancaster Avenue Suite 200 Wynnewood PA 19096-2145 | |
| (856) 392-7692 | |
| (610) 642-3278 |
| Full Name | Aviva Gaskill, Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 308 East Lancaster Avenue, Wynnewood, Pennsylvania |
| Authorized Official Name and Position | Aviva Sharon Gaskill (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 8563927692 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aviva Gaskill, Phd, Pllc 308 East Lancaster Avenue Suite 200 Wynnewood PA 19096-2145 Ph: (856) 392-7692 | Aviva Gaskill, Phd, Pllc 308 East Lancaster Avenue Suite 200 Wynnewood PA 19096-2145 Ph: (856) 392-7692 |
| NPI Number | 1912471350 |
|---|---|
| Provider Enumeration Date | 01/18/2019 |
| Last Update Date | 01/18/2019 |
| Medicare PECOS PAC ID | 8921332792 |
|---|---|
| Medicare Enrollment ID | O20190627002025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912471350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Aviva S Gaskill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225380918 PECOS PAC ID: 5193976587 Enrollment ID: I20170313001429 |
| Provider Name | Cathryn A Borders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1144781055 PECOS PAC ID: 1456689280 Enrollment ID: I20190819000381 |
| Provider Name | Marita Rose Pyankov |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013583236 PECOS PAC ID: 8921455965 Enrollment ID: I20231113001461 |
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