| Dawn Marie Friend, Psyd, Llc | |
|
2957 Ridge Rd South Park PA 15129-8824 | |
| (412) 913-6109 | |
| (724) 782-0206 |
| Full Name | Dawn Marie Friend, Psyd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2957 Ridge Rd, South Park, Pennsylvania |
| Authorized Official Name and Position | Dawn Marie Friend (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 4129136109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Marie Friend, Psyd, Llc 2957 Ridge Rd South Park PA 15129-8824 Ph: (412) 913-6109 | Dawn Marie Friend, Psyd, Llc 2957 Ridge Rd South Park PA 15129-8824 Ph: (412) 913-6109 |
| NPI Number | 1851733810 |
|---|---|
| Provider Enumeration Date | 07/18/2013 |
| Last Update Date | 08/29/2022 |
| Certification Date | 08/29/2022 |
| Medicare PECOS PAC ID | 6608010269 |
|---|---|
| Medicare Enrollment ID | O20130920000454 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851733810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS016006 (Pennsylvania) | Primary |
| Provider Name | Patricia Strassner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851382071 PECOS PAC ID: 6305815929 Enrollment ID: I20040930000443 |
| Provider Name | Dawn M Friend |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841220605 PECOS PAC ID: 0345332219 Enrollment ID: I20070823000085 |
| Provider Name | Stephanie K Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366452468 PECOS PAC ID: 4981843349 Enrollment ID: I20130614000108 |
| Provider Name | Dawn Marie Mcdaniel Moeller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679208474 PECOS PAC ID: 6204211162 Enrollment ID: I20220914001231 |
| Provider Name | Joseph Gentino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700510831 PECOS PAC ID: 6002291960 Enrollment ID: I20220914001293 |
| Provider Name | Shayla Nicole Kiczenski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174247746 PECOS PAC ID: 8527416395 Enrollment ID: I20231205001168 |
| Provider Name | Tasha L Myers |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1245594308 PECOS PAC ID: 5193160851 Enrollment ID: I20240304002933 |
| Provider Name | Samantha Jo Lacy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417562596 PECOS PAC ID: 9133566896 Enrollment ID: I20240318002585 |