| Dr. Katja M Spradlin-mchugh, Llc | |
|
122 W Lancaster Ave Ste 103 Shillington PA 19607-1874 | |
| (610) 741-6907 | |
| Not Available |
| Full Name | Dr. Katja M Spradlin-mchugh, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 122 W Lancaster Ave Ste 103, Shillington, Pennsylvania |
| Authorized Official Name and Position | Katja Martha Spradlin-mchugh (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6462407478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Katja M Spradlin-mchugh, Llc 67 Meadow Glen Ln Reading PA 19607-9422 Ph: (610) 741-6907 | Dr. Katja M Spradlin-mchugh, Llc 122 W Lancaster Ave Ste 103 Shillington PA 19607-1874 Ph: (610) 741-6907 |
| NPI Number | 1366858706 |
|---|---|
| Provider Enumeration Date | 07/07/2014 |
| Last Update Date | 12/13/2019 |
| Certification Date | 12/13/2019 |
| Medicare PECOS PAC ID | 7517188550 |
|---|---|
| Medicare Enrollment ID | O20141016001543 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366858706 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS017507 (Pennsylvania) | Primary |
| Provider Name | Katja M Spradlin-mchugh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376966911 PECOS PAC ID: 4789805730 Enrollment ID: I20141016001782 |
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