| Dr. Yesenia Colon Rivera, Psychological Services Llc | |
|
701 Cumberland St Ste 205 Lebanon PA 17042-5231 | |
| (877) 607-8945 | |
| (877) 387-1188 |
| Full Name | Dr. Yesenia Colon Rivera, Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 701 Cumberland St Ste 205, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Yesenia Colon Rivera (PSYCHOLOGIST) |
| Authorized Official Contact | 8776078945 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Yesenia Colon Rivera, Psychological Services Llc 1820 Quentin Rd # 1029 Lebanon PA 17042-7436 Ph: (877) 607-8945 | Dr. Yesenia Colon Rivera, Psychological Services Llc 701 Cumberland St Ste 205 Lebanon PA 17042-5231 Ph: (877) 607-8945 |
| NPI Number | 1588122121 |
|---|---|
| Provider Enumeration Date | 03/02/2019 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Medicare PECOS PAC ID | 8729314216 |
|---|---|
| Medicare Enrollment ID | O20190722000899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588122121 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Yesenia Colon Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1366804833 PECOS PAC ID: 0345548061 Enrollment ID: I20160413002203 |
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