| Luchansky Psychological Services Llc | |
|
395 Bedford St Ste C Clarks Summit PA 18411-1801 | |
| (570) 954-6961 | |
| (570) 319-9674 |
| Full Name | Luchansky Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 395 Bedford St Ste C, Clarks Summit, Pennsylvania |
| Authorized Official Name and Position | Amanda Luchansky (LICENSED PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5709546961 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Luchansky Psychological Services Llc 395 Bedford St Ste C Clarks Summit PA 18411-1801 Ph: (570) 954-6961 | Luchansky Psychological Services Llc 395 Bedford St Ste C Clarks Summit PA 18411-1801 Ph: (570) 954-6961 |
| NPI Number | 1184190233 |
|---|---|
| Provider Enumeration Date | 10/16/2018 |
| Last Update Date | 10/16/2018 |
| Medicare PECOS PAC ID | 6901145358 |
|---|---|
| Medicare Enrollment ID | O20190228002387 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184190233 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda N Luchansky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316329535 PECOS PAC ID: 6507179033 Enrollment ID: I20150713002593 |
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