| Beth Wallach, Ma, Psychologist, Llc | |
|
1061 Waterdam Plaza Dr Ste 208 Canonsburg PA 15317-5408 | |
| (724) 413-4991 | |
| (724) 260-0221 |
| Full Name | Beth Wallach, Ma, Psychologist, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1061 Waterdam Plaza Dr Ste 208, Canonsburg, Pennsylvania |
| Authorized Official Name and Position | Elizabeth Wallach (PSYCHOLOGIST) |
| Authorized Official Contact | 7244134991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Wallach, Ma, Psychologist, Llc 1061 Waterdam Plaza Dr Ste 208 Canonsburg PA 15317-5408 Ph: (724) 413-4991 | Beth Wallach, Ma, Psychologist, Llc 1061 Waterdam Plaza Dr Ste 208 Canonsburg PA 15317-5408 Ph: (724) 413-4991 |
| NPI Number | 1285762336 |
|---|---|
| Provider Enumeration Date | 03/01/2007 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Medicare PECOS PAC ID | 2769839174 |
|---|---|
| Medicare Enrollment ID | O20231107001707 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285762336 | NPI | - | NPPES |
| 001523992001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS6340L (Pennsylvania) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Wallach |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1750409041 PECOS PAC ID: 4284945049 Enrollment ID: I20150619000981 |
Between Souls Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3323 Washington Rd Ste 200b, Canonsburg, PA 15317 Phone: 412-224-0036 | |
Opal Counseling And Wellness Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Ansys Drive,, Suite 102, Canonsburg, PA 15317 Phone: 412-952-3342 | |
Clear Minds Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Ansys Dr Ste 102, Canonsburg, PA 15317 Phone: 724-207-0393 | |
Karianne Bilsky, Ph.d. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6000 Town Center Blvd Ste 132, Canonsburg, PA 15317 Phone: 724-201-4586 | |
Today Has Purpose, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Ansys Dr Ste 102, Canonsburg, PA 15317 Phone: 724-320-2133 | |
Scott Counseling & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 311 S Central Ave Ste 100, Canonsburg, PA 15317 Phone: 724-914-8789 Fax: 833-297-3825 |