| Dr Maysonet Clinical & Forensic Psychology Firm Pllc | |
|
1275 Glenlivet Dr Ste 100 Allentown PA 18106-3107 | |
| (570) 939-2282 | |
| Not Available |
| Full Name | Dr Maysonet Clinical & Forensic Psychology Firm Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1275 Glenlivet Dr Ste 100, Allentown, Pennsylvania |
| Authorized Official Name and Position | Madeline Ivette Maysonet Scavo (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5709392282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Maysonet Clinical & Forensic Psychology Firm Pllc 2796 Homestead Dr Easton PA 18040-8640 Ph: (570) 939-2822 | Dr Maysonet Clinical & Forensic Psychology Firm Pllc 1275 Glenlivet Dr Ste 100 Allentown PA 18106-3107 Ph: (570) 939-2282 |
| NPI Number | 1780393876 |
|---|---|
| Provider Enumeration Date | 11/17/2022 |
| Last Update Date | 11/17/2022 |
| Certification Date | 11/17/2022 |
| Medicare PECOS PAC ID | 7618344292 |
|---|---|
| Medicare Enrollment ID | O20221111000046 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780393876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Madeline I Maysonet Scavo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366626194 PECOS PAC ID: 8729223102 Enrollment ID: I20130408000382 |
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