| C&d Senior Innovations Llc | |
|
165 California Rd #11 Quakertown PA 18951-6559 | |
| (336) 575-0410 | |
| Not Available |
| Full Name | C&d Senior Innovations Llc |
|---|---|
| Speciality | Social Worker |
| Location | 165 California Rd, Quakertown, Pennsylvania |
| Authorized Official Name and Position | Cathryn C Stettler (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 3365750410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C&d Senior Innovations Llc 165 California Rd #11 Quakertown PA 18951-6559 Ph: (336) 575-0410 | C&d Senior Innovations Llc 165 California Rd #11 Quakertown PA 18951-6559 Ph: (336) 575-0410 |
| NPI Number | 1629519087 |
|---|---|
| Provider Enumeration Date | 03/17/2017 |
| Last Update Date | 03/17/2017 |
| Medicare PECOS PAC ID | 7416234869 |
|---|---|
| Medicare Enrollment ID | O20170512000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629519087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW017317 (Pennsylvania) | Primary |
| Provider Name | Cathryn C Stettler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457743007 PECOS PAC ID: 0244546216 Enrollment ID: I20150908000075 |
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