| Dynamics Psychological Services, Llc | |
|
1496 Cedar Top Rd Shillington PA 19607-9324 | |
| (610) 413-6889 | |
| (610) 372-8548 |
| Full Name | Dynamics Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1496 Cedar Top Rd, Shillington, Pennsylvania |
| Authorized Official Name and Position | Michael Thomas Mosko (OWNER) |
| Authorized Official Contact | 6104136889 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamics Psychological Services, Llc 110 Love Rd Shillington PA 19607-9698 Ph: (610) 413-6889 | Dynamics Psychological Services, Llc 1496 Cedar Top Rd Shillington PA 19607-9324 Ph: (610) 413-6889 |
| NPI Number | 1124475116 |
|---|---|
| Provider Enumeration Date | 05/19/2016 |
| Last Update Date | 05/19/2016 |
| Medicare PECOS PAC ID | 7810322260 |
|---|---|
| Medicare Enrollment ID | O20200114000925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124475116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS016152 (Pennsylvania) | Primary |
| Provider Name | Michael T Mosko |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942316393 PECOS PAC ID: 4486665122 Enrollment ID: I20071113000575 |
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