| Eao Inc. | |
|
57 E Main St Lititz PA 17543-1941 | |
| (717) 627-3139 | |
| (717) 627-4455 |
| Full Name | Eao Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 57 E Main St, Lititz, Pennsylvania |
| Authorized Official Name and Position | Suzanne Marie Ail (PRESIDENT) |
| Authorized Official Contact | 7176273139 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eao Inc. 57 E Main St Lititz PA 17543-1941 Ph: (717) 627-3139 | Eao Inc. 57 E Main St Lititz PA 17543-1941 Ph: (717) 627-3139 |
| NPI Number | 1619009016 |
|---|---|
| Provider Enumeration Date | 03/12/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619009016 | NPI | - | NPPES |
| 02522500 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS005220L (Pennsylvania) | Primary |
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