Duangporn S O Toole Psyd Ms Professional Limited Liability Com | |
123 King Rd Chalfont PA 18914-1703 | |
(215) 738-6104 | |
Not Available |
Full Name | Duangporn S O Toole Psyd Ms Professional Limited Liability Com |
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Speciality | Psychologist |
Location | 123 King Rd, Chalfont, Pennsylvania |
Authorized Official Name and Position | Duangporn Suvansri O'toole (BUSINESS OWNER) |
Authorized Official Contact | 2157386104 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Duangporn S O Toole Psyd Ms Professional Limited Liability Com 123 King Rd Chalfont PA 18914-1703 Ph: (215) 738-6104 | Duangporn S O Toole Psyd Ms Professional Limited Liability Com 123 King Rd Chalfont PA 18914-1703 Ph: (215) 738-6104 |
NPI Number | 1932941564 |
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Provider Enumeration Date | 06/12/2024 |
Last Update Date | 06/12/2024 |
Certification Date | 06/12/2024 |
Medicare PECOS PAC ID | 6002351582 |
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Medicare Enrollment ID | O20240709001378 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932941564 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Duangporn O'toole |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1790402808 PECOS PAC ID: 8426420720 Enrollment ID: I20230215001097 |
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