Irene Marie Erckert, Ph.d., P.c. | |
444 S State St Suite A Newtown PA 18940-1945 | |
(215) 817-2291 | |
Not Available |
Full Name | Irene Marie Erckert, Ph.d., P.c. |
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Speciality | Psychologist |
Location | 444 S State St, Newtown, Pennsylvania |
Authorized Official Name and Position | Irene Marie Erckert (PSYCHOLOGIST) |
Authorized Official Contact | 2158172291 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Irene Marie Erckert, Ph.d., P.c. 37 Devon Rd Newtown PA 18940-3813 Ph: (215) 817-2291 | Irene Marie Erckert, Ph.d., P.c. 444 S State St Suite A Newtown PA 18940-1945 Ph: (215) 817-2291 |
NPI Number | 1164546263 |
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Provider Enumeration Date | 03/16/2007 |
Last Update Date | 01/22/2015 |
Medicare PECOS PAC ID | 1658521885 |
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Medicare Enrollment ID | O20121025000150 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164546263 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 3773 (New Jersey) | Secondary |
103T00000X | Psychologist | PS007917-L (Pennsylvania) | Primary |
Provider Name | Irene M Erckert |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1750597910 PECOS PAC ID: 5799745667 Enrollment ID: I20041014000852 |
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