|
| |
|
2132 S 12th St Ste 402 Allentown PA 18103-4810 | |
| (484) 350-3001 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Psychologist |
| Location | 2132 S 12th St Ste 402, Allentown, Pennsylvania |
| Authorized Official Name and Position | Alison Litman (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 4846193079 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2132 S 12th St Ste 402 Allentown PA 18103-4810 Ph: () - | 2132 S 12th St Ste 402 Allentown PA 18103-4810 Ph: (484) 350-3001 |
| NPI Number | 1811419666 |
|---|---|
| Provider Enumeration Date | 07/13/2017 |
| Last Update Date | 02/25/2020 |
| Certification Date | 02/25/2020 |
| Medicare PECOS PAC ID | 4587936570 |
|---|---|
| Medicare Enrollment ID | O20170825002494 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811419666 | NPI | - | NPPES |
| 003627391 | Other | HIGHMARK/BCBS | |
| 1033499710001 | Medicaid | PA | |
| 1033499710002 | Medicaid | PA | |
| 50154644 | Other | CAPITAL BLUE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Farah A Moyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053549790 PECOS PAC ID: 9638201270 Enrollment ID: I20100719000253 |
| Provider Name | Alison Litman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437693447 PECOS PAC ID: 0840562831 Enrollment ID: I20170825002604 |
| Provider Name | Christine Hartigan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952706459 PECOS PAC ID: 1759653744 Enrollment ID: I20180312000019 |
| Provider Name | Elizabeth Marie Rohner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104593656 PECOS PAC ID: 2769929397 Enrollment ID: I20240731004848 |
| Provider Name | Tracy Lovelace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992464721 PECOS PAC ID: 7618414020 Enrollment ID: I20240802002703 |
| Provider Name | Adrienne Jill Baker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427359033 PECOS PAC ID: 7113378902 Enrollment ID: I20241211002783 |
Ida Andrea Olmeda Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1700 Hanover Ave, Allentown, PA 18109 Phone: 484-357-7599 Fax: 610-439-8004 | |
Bayada Home Health Care, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 961 Marcon Blvd Ste 103, Allentown, PA 18109 Phone: 484-795-5920 Fax: 484-795-5921 | |
Jewish Family Service Of The Lehigh Valley Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2004 W Allen St, Allentown, PA 18104 Phone: 610-821-8722 | |
Vitalistic Therapeutic Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 W Hamilton St, Allentown, PA 18102 Phone: 610-433-4383 | |
Alicia Coffman Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1011 Brookside Rd Ste 302, Allentown, PA 18106 Phone: 484-809-9366 |