| Elizabeth R Peart Llc | |
|
150 S Warner Rd Ste 130 King Of Prussia PA 19406-2826 | |
| (484) 868-9870 | |
| (484) 970-4181 |
| Full Name | Elizabeth R Peart Llc |
|---|---|
| Speciality | Social Worker |
| Location | 150 S Warner Rd Ste 130, King Of Prussia, Pennsylvania |
| Authorized Official Name and Position | Elizabeth R Peart (OWNER) |
| Authorized Official Contact | 4848689870 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth R Peart Llc 424 Weadley Rd King Of Prussia PA 19406-3748 Ph: (484) 868-9870 | Elizabeth R Peart Llc 150 S Warner Rd Ste 130 King Of Prussia PA 19406-2826 Ph: (484) 868-9870 |
| NPI Number | 1750009049 |
|---|---|
| Provider Enumeration Date | 08/22/2022 |
| Last Update Date | 08/22/2022 |
| Certification Date | 08/22/2022 |
| Medicare PECOS PAC ID | 8123404597 |
|---|---|
| Medicare Enrollment ID | O20221008000027 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750009049 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth R Peart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023499811 PECOS PAC ID: 2264700426 Enrollment ID: I20170613001612 |
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