| Geriatric Psychological Associate Inc | |
|
122 Emerson Ave Pittsburgh PA 15215-3208 | |
| (412) 782-3510 | |
| (412) 782-6860 |
| Full Name | Geriatric Psychological Associate Inc |
|---|---|
| Speciality | Psychologist |
| Location | 122 Emerson Ave, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Wayne Anthony Hoover (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 41278223510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Geriatric Psychological Associate Inc 122 Emerson Ave Pittsburgh PA 15215-3208 Ph: (412) 782-3510 | Geriatric Psychological Associate Inc 122 Emerson Ave Pittsburgh PA 15215-3208 Ph: (412) 782-3510 |
| NPI Number | 1851341747 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 04/04/2017 |
| Medicare PECOS PAC ID | 5092765032 |
|---|---|
| Medicare Enrollment ID | O20050127000063 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851341747 | NPI | - | NPPES |
| 001741210 | Other | PA | BCBS |
| 101839230 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 001741210 (Pennsylvania) | Primary |
| Provider Name | Wayne A Hoover |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780620732 PECOS PAC ID: 5991755944 Enrollment ID: I20050131000009 |
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