| Ralph E. Landefeld Ph.d. P.c. | |
|
15957 Conneaut Lake Rd. Suite 7 Meadville PA 16335 | |
| (814) 336-5387 | |
| (814) 807-1416 |
| Full Name | Ralph E. Landefeld Ph.d. P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 15957 Conneaut Lake Rd., Meadville, Pennsylvania |
| Authorized Official Name and Position | Ralph Edwin Landefeld (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 7246014901 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ralph E. Landefeld Ph.d. P.c. 10159 Nancy Drive Meadville PA 16335 Ph: (814) 336-5387 | Ralph E. Landefeld Ph.d. P.c. 15957 Conneaut Lake Rd. Suite 7 Meadville PA 16335 Ph: (814) 336-5387 |
| NPI Number | 1326368374 |
|---|---|
| Provider Enumeration Date | 06/01/2010 |
| Last Update Date | 06/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326368374 | NPI | - | NPPES |
| 0146700 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS002990L (Pennsylvania) | Primary |
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