Creative Living Center Inc. | |
434 Allegheny River Blvd Suite 215 Oakmont PA 15139-1734 | |
(412) 828-9458 | |
(412) 828-9459 |
Full Name | Creative Living Center Inc. |
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Speciality | Psychologist |
Location | 434 Allegheny River Blvd, Oakmont, Pennsylvania |
Authorized Official Name and Position | Kathy Diane Hamm (PRESIDENT) |
Authorized Official Contact | 4128289458 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Creative Living Center Inc. 434 Allegheny River Blvd Oakmont PA 15139-1734 Ph: (412) 828-9458 | Creative Living Center Inc. 434 Allegheny River Blvd Suite 215 Oakmont PA 15139-1734 Ph: (412) 828-9458 |
NPI Number | 1811106875 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 4385630193 |
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Medicare Enrollment ID | O20040426000200 |
Identifier | Type | State | Issuer |
---|---|---|---|
1811106875 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS005025-L (Pennsylvania) | Primary |
Provider Name | Maureen F Gebler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1174597686 PECOS PAC ID: 8729364211 Enrollment ID: I20170413000366 |
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