Keystone Neuropsychology Llc | |
220 Bessemer Rd Ste 202 Mt Pleasant PA 15666-9122 | |
(412) 655-4362 | |
Not Available |
Full Name | Keystone Neuropsychology Llc |
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Speciality | Psychologist |
Location | 220 Bessemer Rd Ste 202, Mt Pleasant, Pennsylvania |
Authorized Official Name and Position | Kristyn Billings (CREDENTIALING) |
Authorized Official Contact | 4126554362 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Keystone Neuropsychology Llc 220 Bessemer Rd Ste 202 Mt Pleasant PA 15666-9122 Ph: (412) 655-4362 | Keystone Neuropsychology Llc 220 Bessemer Rd Ste 202 Mt Pleasant PA 15666-9122 Ph: (412) 655-4362 |
NPI Number | 1962179770 |
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Provider Enumeration Date | 08/28/2021 |
Last Update Date | 08/28/2021 |
Certification Date | 08/28/2021 |
Medicare PECOS PAC ID | 1153710215 |
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Medicare Enrollment ID | O20211110001788 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962179770 | NPI | - | NPPES |
PS016829 | Other | PA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Stacie Leffard |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1649524596 PECOS PAC ID: 4385952829 Enrollment ID: I20211110002250 |
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