| State Of Mind Neuropsychology Llc | |
|
2714 Memorial Blvd Connellsville PA 15425-1406 | |
| (724) 317-1647 | |
| Not Available |
| Full Name | State Of Mind Neuropsychology Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2714 Memorial Blvd, Connellsville, Pennsylvania |
| Authorized Official Name and Position | Alicia Helene Puskar (OWNER/NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 7243171647 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Mind Neuropsychology Llc Po Box 420 Perryopolis PA 15473-0420 Ph: (724) 317-1647 | State Of Mind Neuropsychology Llc 2714 Memorial Blvd Connellsville PA 15425-1406 Ph: (724) 317-1647 |
| NPI Number | 1174274120 |
|---|---|
| Provider Enumeration Date | 01/11/2022 |
| Last Update Date | 01/11/2022 |
| Certification Date | 01/11/2022 |
| Medicare PECOS PAC ID | 1759778442 |
|---|---|
| Medicare Enrollment ID | O20220427002353 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174274120 | NPI | - | NPPES |
| Provider Name | Alicia H Puskar |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659613842 PECOS PAC ID: 0446499131 Enrollment ID: I20180110002499 |
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