| Stanley H. Nadulek, Ph.d., P.c. | |
|
4068 Mount Royal Blvd Ste 218 Allison Park PA 15101-2951 | |
| (412) 487-1710 | |
| (724) 444-3047 |
| Full Name | Stanley H. Nadulek, Ph.d., P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 4068 Mount Royal Blvd Ste 218, Allison Park, Pennsylvania |
| Authorized Official Name and Position | Stanley Howard Nadulek (PRESIDENT) |
| Authorized Official Contact | 4124871710 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley H. Nadulek, Ph.d., P.c. 4068 Mount Royal Blvd Ste 218 Allison Park PA 15101-2951 Ph: (412) 487-1710 | Stanley H. Nadulek, Ph.d., P.c. 4068 Mount Royal Blvd Ste 218 Allison Park PA 15101-2951 Ph: (412) 487-1710 |
| NPI Number | 1376691774 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 06/09/2023 |
| Certification Date | 06/09/2023 |
| Medicare PECOS PAC ID | 2769439280 |
|---|---|
| Medicare Enrollment ID | O20050406000447 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376691774 | NPI | - | NPPES |
| 41-001530638 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS-005306-L (Pennsylvania) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS-005306-L (Pennsylvania) | Primary |
| Provider Name | Stanley H Nadulek |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932145463 PECOS PAC ID: 7810944337 Enrollment ID: I20050406000504 |
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