| Stewart Psychological & Consultation Services, Llc | |
|
395 Bedford St Ste C Clarks Summit PA 18411-1801 | |
| (570) 815-5090 | |
| (570) 319-9674 |
| Full Name | Stewart Psychological & Consultation Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 395 Bedford St Ste C, Clarks Summit, Pennsylvania |
| Authorized Official Name and Position | Victoria Stewart (PSYCHOLOGIST) |
| Authorized Official Contact | 5708155090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stewart Psychological & Consultation Services, Llc 395 Bedford St Ste C Clarks Summit PA 18411-1801 Ph: (570) 815-5090 | Stewart Psychological & Consultation Services, Llc 395 Bedford St Ste C Clarks Summit PA 18411-1801 Ph: (570) 815-5090 |
| NPI Number | 1790250983 |
|---|---|
| Provider Enumeration Date | 10/04/2018 |
| Last Update Date | 10/04/2018 |
| Medicare PECOS PAC ID | 6709122575 |
|---|---|
| Medicare Enrollment ID | O20190115003773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790250983 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Victoria Lane Stewart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598060493 PECOS PAC ID: 6608047691 Enrollment ID: I20110923000192 |
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