Lawrence M Satifka Ma Llc | |
200 Pine St Ste 400 Williamsport PA 17701-6503 | |
(570) 772-3090 | |
(570) 300-2371 |
Full Name | Lawrence M Satifka Ma Llc |
---|---|
Speciality | Psychologist - Counseling |
Location | 200 Pine St Ste 400, Williamsport, Pennsylvania |
Authorized Official Name and Position | Lawrence Matthew Satifka (PA LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 5707723090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Lawrence M Satifka Ma Llc 200 Pine St Ste 400 Williamsport PA 17701-6503 Ph: (570) 772-3090 | Lawrence M Satifka Ma Llc 200 Pine St Ste 400 Williamsport PA 17701-6503 Ph: (570) 772-3090 |
NPI Number | 1104281989 |
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Provider Enumeration Date | 12/22/2015 |
Last Update Date | 12/22/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104281989 | NPI | - | NPPES |
100743420005 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | PS005192L (Pennsylvania) | Primary |
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