| Legg Counseling & Consulting Services, Llc | |
|
421 S State St Clarks Summit PA 18411-1684 | |
| (570) 682-5777 | |
| Not Available |
| Full Name | Legg Counseling & Consulting Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 421 S State St, Clarks Summit, Pennsylvania |
| Authorized Official Name and Position | Timothy James Legg (PSYCHOLOGIST) |
| Authorized Official Contact | 5706825777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Legg Counseling & Consulting Services, Llc 421 S State St Clarks Summit PA 18411-1684 Ph: (570) 682-5777 | Legg Counseling & Consulting Services, Llc 421 S State St Clarks Summit PA 18411-1684 Ph: (570) 682-5777 |
| NPI Number | 1285202895 |
|---|---|
| Provider Enumeration Date | 06/11/2021 |
| Last Update Date | 11/12/2024 |
| Certification Date | 11/12/2024 |
| Medicare PECOS PAC ID | 8729479092 |
|---|---|
| Medicare Enrollment ID | O20211221000159 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285202895 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Timothy Legg |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063427417 PECOS PAC ID: 6507027364 Enrollment ID: I20211221000205 |
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