| Integral Psychology Llc | |
|
111 S Spring St Bellefonte PA 16823-1335 | |
| (814) 380-9392 | |
| (814) 470-4160 |
| Full Name | Integral Psychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 111 S Spring St, Bellefonte, Pennsylvania |
| Authorized Official Name and Position | David Durst (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8143809392 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Psychology Llc 119 Amberleigh Ln Ste 119 Bellefonte PA 16823-8488 Ph: (814) 380-9392 | Integral Psychology Llc 111 S Spring St Bellefonte PA 16823-1335 Ph: (814) 380-9392 |
| NPI Number | 1518509066 |
|---|---|
| Provider Enumeration Date | 10/16/2019 |
| Last Update Date | 01/19/2024 |
| Certification Date | 01/19/2024 |
| Medicare PECOS PAC ID | 1951730498 |
|---|---|
| Medicare Enrollment ID | O20200403000321 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518509066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | David M Durst |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821521493 PECOS PAC ID: 3971846049 Enrollment ID: I20190514001183 |
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