| Persoma Pc | |
|
2540 Monroeville Blvd Monroeville PA 15146-2329 | |
| (412) 823-5155 | |
| (412) 823-8262 |
| Full Name | Persoma Pc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 2540 Monroeville Blvd, Monroeville, Pennsylvania |
| Authorized Official Name and Position | James R. Long (PRESIDENT) |
| Authorized Official Contact | 4128235155 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Persoma Pc 2540 Monroeville Blvd Monroeville PA 15145-2329 Ph: (412) 823-5155 | Persoma Pc 2540 Monroeville Blvd Monroeville PA 15146-2329 Ph: (412) 823-5155 |
| NPI Number | 1871880567 |
|---|---|
| Provider Enumeration Date | 07/01/2011 |
| Last Update Date | 07/01/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871880567 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW01689 (Pennsylvania) | Primary |
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