| Bloomsburg Psychotherapy Center Llc | |
|
816 Central Rd Bloomsburg PA 17815-8976 | |
| (570) 387-1832 | |
| (570) 387-5103 |
| Full Name | Bloomsburg Psychotherapy Center Llc |
|---|---|
| Speciality | Social Worker |
| Location | 816 Central Rd, Bloomsburg, Pennsylvania |
| Authorized Official Name and Position | Ronda Barto (OWNER/LCSW) |
| Authorized Official Contact | 5703871832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bloomsburg Psychotherapy Center Llc 816 Central Rd Bloomsburg PA 17815-8976 Ph: (570) 387-1832 | Bloomsburg Psychotherapy Center Llc 816 Central Rd Bloomsburg PA 17815-8976 Ph: (570) 387-1832 |
| NPI Number | 1487651170 |
|---|---|
| Provider Enumeration Date | 07/07/2005 |
| Last Update Date | 12/30/2022 |
| Certification Date | 12/30/2022 |
| Medicare PECOS PAC ID | 3678655669 |
|---|---|
| Medicare Enrollment ID | O20080313000042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487651170 | NPI | - | NPPES |
| Provider Name | Maria Zuniga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225090632 PECOS PAC ID: 9335195106 Enrollment ID: I20050324000393 |
| Provider Name | Ronda F Barto |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871542373 PECOS PAC ID: 9436230448 Enrollment ID: I20080116000280 |
| Provider Name | Richard C Whitmire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801830062 PECOS PAC ID: 2961583976 Enrollment ID: I20080116000293 |
| Provider Name | Diana A Leighow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871911560 PECOS PAC ID: 2365728557 Enrollment ID: I20170425001447 |
| Provider Name | Stephanie Matruder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952601791 PECOS PAC ID: 1759668825 Enrollment ID: I20170428000310 |
| Provider Name | Anne Eaton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578929972 PECOS PAC ID: 2567814304 Enrollment ID: I20240117004028 |
| Provider Name | Bernadette Zoppetti |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821390782 PECOS PAC ID: 0345690285 Enrollment ID: I20240319002308 |
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