| Christopher L Stough | |
|
633 Long Run Rd Ste 104 Mckeesport PA 15132-7424 | |
| (412) 385-7129 | |
| (412) 896-1272 |
| Full Name | Christopher L Stough |
|---|---|
| Speciality | Social Worker |
| Location | 633 Long Run Rd Ste 104, Mckeesport, Pennsylvania |
| Authorized Official Name and Position | Christopher L Stough (OWNER) |
| Authorized Official Contact | 4123857129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christopher L Stough 633 Long Run Rd Ste 104 Mckeesport PA 15132-7424 Ph: (412) 385-7129 | Christopher L Stough 633 Long Run Rd Ste 104 Mckeesport PA 15132-7424 Ph: (412) 385-7129 |
| NPI Number | 1841040631 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 05/03/2024 |
| Certification Date | 05/03/2024 |
| Medicare PECOS PAC ID | 8921449729 |
|---|---|
| Medicare Enrollment ID | O20240510001396 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841040631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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