| Richland Counseling Center Llc | |
|
200 Apple St Ste 4 Quakertown PA 18951-1645 | |
| (215) 858-1674 | |
| Not Available |
| Full Name | Richland Counseling Center Llc |
|---|---|
| Speciality | Psychologist |
| Location | 200 Apple St Ste 4, Quakertown, Pennsylvania |
| Authorized Official Name and Position | Ann Brevoort Tucker (MANAGING DIRECTOR) |
| Authorized Official Contact | 2156433011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richland Counseling Center Llc Po Box 1102 Quakertown PA 18951-0049 Ph: (215) 643-3011 | Richland Counseling Center Llc 200 Apple St Ste 4 Quakertown PA 18951-1645 Ph: (215) 858-1674 |
| NPI Number | 1427612175 |
|---|---|
| Provider Enumeration Date | 04/29/2019 |
| Last Update Date | 04/29/2019 |
| Medicare PECOS PAC ID | 7113259367 |
|---|---|
| Medicare Enrollment ID | O20191022000025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427612175 | NPI | - | NPPES |
| 1043388762 | Other | ANN B TUCKER NPI | |
| 488136000 | Other | IBX | |
| 5386083 | Other | AETNA | |
| PS-008240-L | Other | PA | PA LICENSE |
| 1664450 | Other | BEACON | |
| 247500000 | Other | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Ann B Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043388762 PECOS PAC ID: 8820002090 Enrollment ID: I20060127000082 |
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