| Sherri Landes Phd Pa | |
|
1200 Bustleton Pike Suite 4 B Feasterville PA 19053 | |
| (215) 364-0344 | |
| (215) 364-3931 |
| Full Name | Sherri Landes Phd Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 1200 Bustleton Pike, Feasterville, Pennsylvania |
| Authorized Official Name and Position | Sherri Landes (PRESIDENT) |
| Authorized Official Contact | 2153640344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sherri Landes Phd Pa 1200 Bustleton Pike Suite 4 B Feasterville PA 19053 Ph: (215) 364-0344 | Sherri Landes Phd Pa 1200 Bustleton Pike Suite 4 B Feasterville PA 19053 Ph: (215) 364-0344 |
| NPI Number | 1154623486 |
|---|---|
| Provider Enumeration Date | 11/18/2010 |
| Last Update Date | 11/18/2010 |
| Medicare PECOS PAC ID | 4082803903 |
|---|---|
| Medicare Enrollment ID | O20110107000661 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154623486 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PS003801L (Pennsylvania) | Primary |
| Provider Name | Sherri Landes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205983301 PECOS PAC ID: 2567651144 Enrollment ID: I20110113000065 |
Mcc, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 52 East Street Road, Feasterville, PA 19053 Phone: 267-525-7000 Fax: 267-525-7010 |