Indiana Pychology Associates, Inc. | |
720 Church St Indiana PA 15701-2741 | |
(724) 349-8021 | |
(724) 349-8261 |
Full Name | Indiana Pychology Associates, Inc. |
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Speciality | Psychologist |
Location | 720 Church St, Indiana, Pennsylvania |
Authorized Official Name and Position | Marijana Stovic (PSYCHOLOGIST) |
Authorized Official Contact | 7243498021 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Indiana Pychology Associates, Inc. 720 Church St Indiana PA 15701-2741 Ph: (724) 349-8021 | Indiana Pychology Associates, Inc. 720 Church St Indiana PA 15701-2741 Ph: (724) 349-8021 |
NPI Number | 1790703767 |
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Provider Enumeration Date | 07/18/2006 |
Last Update Date | 12/20/2007 |
Medicare PECOS PAC ID | 2365407376 |
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Medicare Enrollment ID | O20041201000197 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790703767 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Marijana Stovic |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1942221304 PECOS PAC ID: 6002871027 Enrollment ID: I20041201000316 |
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