Emotional Health Center Of Lancaster, Llc | |
1525 Oregon Pike Suite 1002 Lancaster PA 17601-4372 | |
(717) 405-0554 | |
Not Available |
Full Name | Emotional Health Center Of Lancaster, Llc |
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Speciality | Psychologist |
Location | 1525 Oregon Pike, Lancaster, Pennsylvania |
Authorized Official Name and Position | Ronald Gene Vogt (PARTNER) |
Authorized Official Contact | 7174050554 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Emotional Health Center Of Lancaster, Llc 1525 Oregon Pike Suite 1002 Lancaster PA 17601-4372 Ph: (717) 405-0554 | Emotional Health Center Of Lancaster, Llc 1525 Oregon Pike Suite 1002 Lancaster PA 17601-4372 Ph: (717) 405-0554 |
NPI Number | 1174949903 |
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Provider Enumeration Date | 03/18/2014 |
Last Update Date | 03/18/2014 |
Medicare PECOS PAC ID | 7719102201 |
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Medicare Enrollment ID | O20140625000161 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174949903 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Douglas L Friesen |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1972524148 PECOS PAC ID: 4789690702 Enrollment ID: I20060301000121 |
Provider Name | Ronald G Vogt |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1376683722 PECOS PAC ID: 6709016736 Enrollment ID: I20140313000126 |
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