| Milford Psychotherapy Llc | |
|
47 Club Ct Stroudsburg PA 18360-1547 | |
| (917) 748-3699 | |
| Not Available |
| Full Name | Milford Psychotherapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 47 Club Ct, Stroudsburg, Pennsylvania |
| Authorized Official Name and Position | Jaclyn Froman (OWNER) |
| Authorized Official Contact | 9177483699 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Milford Psychotherapy Llc 47 Club Ct Stroudsburg PA 18360-1547 Ph: (917) 748-3699 | Milford Psychotherapy Llc 47 Club Ct Stroudsburg PA 18360-1547 Ph: (917) 748-3699 |
| NPI Number | 1689363749 |
|---|---|
| Provider Enumeration Date | 05/04/2023 |
| Last Update Date | 05/04/2023 |
| Certification Date | 05/04/2023 |
| Medicare PECOS PAC ID | 1254797970 |
|---|---|
| Medicare Enrollment ID | O20230522002275 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689363749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Jaclyn Froman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669696134 PECOS PAC ID: 1153422779 Enrollment ID: I20170731003215 |
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