| Richard H. Mousley, Llc | |
|
719a Olde Hickory Rd Lancaster PA 17601 | |
| (717) 513-9953 | |
| Not Available |
| Full Name | Richard H. Mousley, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 719a Olde Hickory Rd, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Richard H Mousley (OWNER/MEMBER) |
| Authorized Official Contact | 7175139953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard H. Mousley, Llc 453 Parkwynne Rd Lancaster PA 17601-2834 Ph: (717) 513-9953 | Richard H. Mousley, Llc 719a Olde Hickory Rd Lancaster PA 17601 Ph: (717) 513-9953 |
| NPI Number | 1437597002 |
|---|---|
| Provider Enumeration Date | 06/05/2013 |
| Last Update Date | 06/05/2013 |
| Medicare PECOS PAC ID | 2769623834 |
|---|---|
| Medicare Enrollment ID | O20130801000350 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437597002 | NPI | - | NPPES |
| 423097LTD | Other | PA | MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW014329 (Pennsylvania) | Primary |
| Provider Name | Richard H Mousley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255440251 PECOS PAC ID: 8527033778 Enrollment ID: I20040831000816 |
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