| Northern Tier Counseling- Ma Psychologist | |
|
Rr 1 Box 137 Towanda PA 18848-9730 | |
| (570) 265-0100 | |
| (570) 265-6741 |
| Full Name | Northern Tier Counseling- Ma Psychologist |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | Rr 1 Box 137, Towanda, Pennsylvania |
| Authorized Official Name and Position | Paul Denault (CEO) |
| Authorized Official Contact | 5702650100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northern Tier Counseling- Ma Psychologist Rr 1 Box 137 Towanda PA 18848-9730 Ph: (570) 265-0100 | Northern Tier Counseling- Ma Psychologist Rr 1 Box 137 Towanda PA 18848-9730 Ph: (570) 265-0100 |
| NPI Number | 1861414625 |
|---|---|
| Provider Enumeration Date | 07/24/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861414625 | NPI | - | NPPES |
| 814274 | Other | PA | FPH PROVIDER#-PSYCHOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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