| Inner Compass, Llc | |
|
107 Main St Unit 3 Wellsboro PA 16901-1518 | |
| (570) 723-1005 | |
| (570) 723-1006 |
| Full Name | Inner Compass, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 107 Main St Unit 3, Wellsboro, Pennsylvania |
| Authorized Official Name and Position | Lisa Vaughn Feil (PSYCHOLOGIST) |
| Authorized Official Contact | 5707231005 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Compass, Llc 107 Main St Unit 3 Wellsboro PA 16901-1518 Ph: (570) 723-1005 | Inner Compass, Llc 107 Main St Unit 3 Wellsboro PA 16901-1518 Ph: (570) 723-1005 |
| NPI Number | 1063842284 |
|---|---|
| Provider Enumeration Date | 11/25/2013 |
| Last Update Date | 01/29/2014 |
| Medicare PECOS PAC ID | 2466679352 |
|---|---|
| Medicare Enrollment ID | O20140818001141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063842284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS017141 (Pennsylvania) | Primary |
| 1041C0700X | Social Worker - Clinical | CW000402L (Pennsylvania) | Secondary |
| Provider Name | Doris Ann Kyle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104913128 PECOS PAC ID: 4284851171 Enrollment ID: I20140820000700 |
| Provider Name | Lisa V Feil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518237866 PECOS PAC ID: 2264662915 Enrollment ID: I20140820001056 |
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