| Fellow Travelers Psychological Services, Llc | |
|
203 Greenwood Ave Clarks Summit PA 18411-1405 | |
| (570) 218-2402 | |
| (570) 227-0934 |
| Full Name | Fellow Travelers Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 203 Greenwood Ave, Clarks Summit, Pennsylvania |
| Authorized Official Name and Position | Natasha Coy (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5702182402 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fellow Travelers Psychological Services, Llc 203 Greenwood Ave Clarks Summit PA 18411-1405 Ph: (570) 218-2402 | Fellow Travelers Psychological Services, Llc 203 Greenwood Ave Clarks Summit PA 18411-1405 Ph: (570) 218-2402 |
| NPI Number | 1881329209 |
|---|---|
| Provider Enumeration Date | 07/20/2022 |
| Last Update Date | 07/20/2022 |
| Certification Date | 07/20/2022 |
| Medicare PECOS PAC ID | 8729458203 |
|---|---|
| Medicare Enrollment ID | O20221227000659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881329209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Natasha Hope Coy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528506078 PECOS PAC ID: 4688932155 Enrollment ID: I20171212000231 |
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