| Ethos Clinic | |
|
428 S 7th St Lehighton PA 18235 | |
| (610) 900-4234 | |
| (610) 900-4235 |
| Full Name | Ethos Clinic |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 428 S 7th St, Lehighton, Pennsylvania |
| Authorized Official Name and Position | Raja Sohail Abbas (SOLE PROPRIETOR) |
| Authorized Official Contact | 6109004234 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ethos Clinic 428 S 7th St Lehighton PA 18235-1824 Ph: (610) 900-4234 | Ethos Clinic 428 S 7th St Lehighton PA 18235 Ph: (610) 900-4234 |
| NPI Number | 1588900815 |
|---|---|
| Provider Enumeration Date | 12/13/2012 |
| Last Update Date | 02/28/2019 |
| Medicare PECOS PAC ID | 2062659584 |
|---|---|
| Medicare Enrollment ID | O20130430000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588900815 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ronald P Slivka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265500532 PECOS PAC ID: 6406942895 Enrollment ID: I20071017000129 |
| Provider Name | Kimberly A Barilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346340064 PECOS PAC ID: 1052490794 Enrollment ID: I20080506000431 |
| Provider Name | Raja S Abbas |
|---|---|
| Provider Type | Practitioner - Geriatric Psychiatry |
| Provider Identifiers | NPI Number: 1306057294 PECOS PAC ID: 3476607045 Enrollment ID: I20090817000236 |
| Provider Name | Arianna B Dempsey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285913053 PECOS PAC ID: 4587809280 Enrollment ID: I20130401000041 |
| Provider Name | Karen Burke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073922720 PECOS PAC ID: 7911223565 Enrollment ID: I20150226000955 |
| Provider Name | Eileen Teyim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770767014 PECOS PAC ID: 1658650296 Enrollment ID: I20161122001269 |
| Provider Name | Edward Francis Caruso |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780658864 PECOS PAC ID: 5496842775 Enrollment ID: I20180626000062 |
| Provider Name | Hunaidah N Beg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710442850 PECOS PAC ID: 0042550485 Enrollment ID: I20190320002955 |
| Provider Name | Lindsey M Tomcics |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730658188 PECOS PAC ID: 3274954763 Enrollment ID: I20200610000129 |
| Provider Name | Catherine A Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417593906 PECOS PAC ID: 1850712209 Enrollment ID: I20200610002895 |
| Provider Name | Jenna Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760187108 PECOS PAC ID: 7618320979 Enrollment ID: I20240202001006 |
| Provider Name | William Lybarger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194738633 PECOS PAC ID: 6002812245 Enrollment ID: I20240508001348 |
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