Sanderson Psychological, Llc | |
95 Enterprise St Suite 104 Elizabeth PA 15037-2070 | |
(412) 370-4848 | |
(412) 754-2006 |
Full Name | Sanderson Psychological, Llc |
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Speciality | Community/Behavioral Health |
Location | 95 Enterprise St, Elizabeth, Pennsylvania |
Authorized Official Name and Position | Brooke Nicole Sanderson (PRESIDENT) |
Authorized Official Contact | 4123704848 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sanderson Psychological, Llc 95 Enterprise St Suite 104 Elizabeth PA 15037-2070 Ph: (412) 370-4848 | Sanderson Psychological, Llc 95 Enterprise St Suite 104 Elizabeth PA 15037-2070 Ph: (412) 370-4848 |
NPI Number | 1699212431 |
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Provider Enumeration Date | 01/31/2017 |
Last Update Date | 05/11/2017 |
Medicare PECOS PAC ID | 0941572184 |
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Medicare Enrollment ID | O20170822003793 |
Identifier | Type | State | Issuer |
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1699212431 | NPI | - | NPPES |
1871842591 | Other | PA | NPI INDIVIDUAL |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | PS018190 (Pennsylvania) | Primary |
251S00000X | Community/behavioral Health | PC006524 (Pennsylvania) | Secondary |
Provider Name | Brooke Nicole Sanderson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1871842591 PECOS PAC ID: 6204108442 Enrollment ID: I20170822003900 |
Provider Name | Christine M Kalinik |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1679979462 PECOS PAC ID: 3072904713 Enrollment ID: I20220106001969 |
Provider Name | Noel Suzanne Maurizi |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1811733215 PECOS PAC ID: 2668906991 Enrollment ID: I20241108003810 |