Menta Psychological, Llc | |
520 Philadelphia St # 10 Indiana PA 15701-3902 | |
(724) 422-0593 | |
(973) 629-1694 |
Full Name | Menta Psychological, Llc |
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Speciality | Clinic/Center |
Location | 520 Philadelphia St # 10, Indiana, Pennsylvania |
Authorized Official Name and Position | Carolyn Menta (OWNER) |
Authorized Official Contact | 7244220593 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Menta Psychological, Llc 520 Philadelphia St # 10 Indiana PA 15701-3902 Ph: (724) 422-0593 | Menta Psychological, Llc 520 Philadelphia St # 10 Indiana PA 15701-3902 Ph: (724) 422-0593 |
NPI Number | 1174092142 |
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Provider Enumeration Date | 11/19/2018 |
Last Update Date | 02/08/2019 |
Medicare PECOS PAC ID | 0143567925 |
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Medicare Enrollment ID | O20190201000613 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174092142 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Provider Name | Carolyn J Menta |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1134128507 PECOS PAC ID: 1052573045 Enrollment ID: I20120509000302 |
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