| Rebecca S. De Vries, Ph.d., Llc | |
|
201 S Main St Suite 102a Butler PA 16001-5991 | |
| (724) 766-2376 | |
| (844) 662-5069 |
| Full Name | Rebecca S. De Vries, Ph.d., Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 201 S Main St, Butler, Pennsylvania |
| Authorized Official Name and Position | Rebecca S De Vries (SOLE PROPRIETOR) |
| Authorized Official Contact | 7247662376 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca S. De Vries, Ph.d., Llc 104 Cashdollar Rd Mars PA 16046-3502 Ph: (724) 766-2376 | Rebecca S. De Vries, Ph.d., Llc 201 S Main St Suite 102a Butler PA 16001-5991 Ph: (724) 766-2376 |
| NPI Number | 1538533948 |
|---|---|
| Provider Enumeration Date | 11/23/2015 |
| Last Update Date | 01/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538533948 | NPI | - | NPPES |
| 1588983894 | Other | PA | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | PC005515 (Pennsylvania) | Primary |
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