| Steeple City Psychological Services, Llc | |
|
932 National Hwy Lavale MD 21502-7380 | |
| (717) 808-8400 | |
| Not Available |
| Full Name | Steeple City Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 932 National Hwy, Lavale, Maryland |
| Authorized Official Name and Position | Ronald J Dahl (OWNER/DIRECTOR) |
| Authorized Official Contact | 7178088400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Steeple City Psychological Services, Llc Po Box 92 Millersville PA 17551-0092 Ph: (717) 808-8400 | Steeple City Psychological Services, Llc 932 National Hwy Lavale MD 21502-7380 Ph: (717) 808-8400 |
| NPI Number | 1649675992 |
|---|---|
| Provider Enumeration Date | 10/29/2014 |
| Last Update Date | 09/06/2023 |
| Certification Date | 08/03/2022 |
| Medicare PECOS PAC ID | 4587982996 |
|---|---|
| Medicare Enrollment ID | O20150415001661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649675992 | NPI | - | NPPES |
| 1649675992 | Other | NPPES |
| Provider Name | Ronald Joseph Dahl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922434455 PECOS PAC ID: 0446485700 Enrollment ID: I20131023000964 |
| Provider Name | Emily A Keiper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033697123 PECOS PAC ID: 0749539112 Enrollment ID: I20220629001265 |
Specialty Physicians Of Garrett County, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 922 National Hwy Ste 2, Lavale, MD 21502 Phone: 240-362-7294 Fax: 240-362-7366 |