| New Life Psychological Services Llc | |
|
1025 S Cocalico Rd Denver PA 17517-9545 | |
| (717) 606-7652 | |
| (717) 336-4014 |
| Full Name | New Life Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1025 S Cocalico Rd, Denver, Pennsylvania |
| Authorized Official Name and Position | John E Pugh (PSYCHOLOGIST) |
| Authorized Official Contact | 7176067652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Psychological Services Llc 1025 S Cocalico Rd Denver PA 17517-9545 Ph: (717) 606-7652 | New Life Psychological Services Llc 1025 S Cocalico Rd Denver PA 17517-9545 Ph: (717) 606-7652 |
| NPI Number | 1093053761 |
|---|---|
| Provider Enumeration Date | 01/30/2013 |
| Last Update Date | 05/04/2016 |
| Medicare PECOS PAC ID | 6103111943 |
|---|---|
| Medicare Enrollment ID | O20160818001342 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093053761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS006830L (Pennsylvania) | Primary |
| Provider Name | John E Pugh |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801965983 PECOS PAC ID: 3577750827 Enrollment ID: I20110324000248 |
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