Embodied Hope Psychological Pllc | |
6000 Town Center Blvd Ste 132 Canonsburg PA 15317-5833 | |
(724) 201-4586 | |
Not Available |
Full Name | Embodied Hope Psychological Pllc |
---|---|
Speciality | Psychologist |
Location | 6000 Town Center Blvd Ste 132, Canonsburg, Pennsylvania |
Authorized Official Name and Position | Karianne Bilsky (OWNER / PRESIDENT) |
Authorized Official Contact | 7242014586 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Embodied Hope Psychological Pllc 6000 Town Center Blvd Ste 132 Canonsburg PA 15317-5833 Ph: (724) 201-4586 | Embodied Hope Psychological Pllc 6000 Town Center Blvd Ste 132 Canonsburg PA 15317-5833 Ph: (724) 201-4586 |
NPI Number | 1609647668 |
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Provider Enumeration Date | 01/09/2024 |
Last Update Date | 01/09/2024 |
Certification Date | 01/09/2024 |
Medicare PECOS PAC ID | 4385186840 |
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Medicare Enrollment ID | O20240612000669 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609647668 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Karianne D. P. Bilsky |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1013343151 PECOS PAC ID: 5294277752 Enrollment ID: I20240612000801 |
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