| Katharine C. Mccorkle, Phd, Llc | |
|
3145 Scenic Dr Mars PA 16046-4115 | |
| (724) 776-5534 | |
| Not Available |
| Full Name | Katharine C. Mccorkle, Phd, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3145 Scenic Dr, Mars, Pennsylvania |
| Authorized Official Name and Position | Katie Mccorkle (OWNER) |
| Authorized Official Contact | 7247765534 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katharine C. Mccorkle, Phd, Llc 3145 Scenic Dr Mars PA 16046-4115 Ph: (724) 776-5534 | Katharine C. Mccorkle, Phd, Llc 3145 Scenic Dr Mars PA 16046-4115 Ph: (724) 776-5534 |
| NPI Number | 1780276436 |
|---|---|
| Provider Enumeration Date | 02/04/2021 |
| Last Update Date | 02/04/2021 |
| Certification Date | 02/04/2021 |
| Medicare PECOS PAC ID | 8426467713 |
|---|---|
| Medicare Enrollment ID | O20210518001122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780276436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Katharine C Mccorkle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1902819378 PECOS PAC ID: 6709802747 Enrollment ID: I20051019000877 |
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