Integral Psychology Llc | |
111 S Spring St Bellefonte PA 16823-1335 | |
(814) 380-9392 | |
(814) 470-4160 |
Full Name | Integral Psychology Llc |
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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 |
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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 |
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Provider Enumeration Date | 10/16/2019 |
Last Update Date | 01/19/2024 |
Certification Date | 01/19/2024 |
Medicare PECOS PAC ID | 1951730498 |
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Medicare Enrollment ID | O20200403000321 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518509066 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | David M Durst |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1821521493 PECOS PAC ID: 3971846049 Enrollment ID: I20190514001183 |
Provider Name | Jessica Durst |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1942915806 PECOS PAC ID: 3375078181 Enrollment ID: I20241203000151 |
Provider Name | Kimberly Dawn Hoover |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1588364681 PECOS PAC ID: 8022544071 Enrollment ID: I20241213000849 |
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