| Richard A Sekula Phd Llc | |
|
2545 W 26th St Erie PA 16506-3261 | |
| (814) 397-6077 | |
| (814) 455-0997 |
| Full Name | Richard A Sekula Phd Llc |
|---|---|
| Speciality | Psychologist |
| Location | 2545 W 26th St, Erie, Pennsylvania |
| Authorized Official Name and Position | Richard A Sekula (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8143976077 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard A Sekula Phd Llc 734 Gold Ave Erie PA 16509-3059 Ph: (814) 397-6077 | Richard A Sekula Phd Llc 2545 W 26th St Erie PA 16506-3261 Ph: (814) 397-6077 |
| NPI Number | 1871924753 |
|---|---|
| Provider Enumeration Date | 12/03/2013 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Medicare PECOS PAC ID | 7618105289 |
|---|---|
| Medicare Enrollment ID | O20140107000218 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871924753 | NPI | - | NPPES |
| 101276660 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS005326L (Pennsylvania) | Primary |
| Provider Name | Richard A Sekula |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861425043 PECOS PAC ID: 2961408083 Enrollment ID: I20061013000020 |
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