| Soltane Therapeutic Services Llc | |
|
224 Nantmeal Rd Glenmoore PA 19343-2637 | |
| (610) 469-0933 | |
| Not Available |
| Full Name | Soltane Therapeutic Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 224 Nantmeal Rd, Glenmoore, Pennsylvania |
| Authorized Official Name and Position | Jolynne Shannon (DIRECTOR OF CLINICAL SERVICES) |
| Authorized Official Contact | 4849864411 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Soltane Therapeutic Services Llc 224 Nantmeal Rd Glenmoore PA 19343-2637 Ph: (610) 469-0933 | Soltane Therapeutic Services Llc 224 Nantmeal Rd Glenmoore PA 19343-2637 Ph: (610) 469-0933 |
| NPI Number | 1962122465 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 09/21/2022 |
| Certification Date | 09/21/2022 |
| Medicare PECOS PAC ID | 7810361656 |
|---|---|
| Medicare Enrollment ID | O20230320000235 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962122465 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jolynne Z Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548616683 PECOS PAC ID: 5193016103 Enrollment ID: I20160622002126 |
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