| Summit Clinical Associates Llc | |
|
126 Locust Ln Media PA 19063-1711 | |
| (484) 274-8957 | |
| Not Available |
| Full Name | Summit Clinical Associates Llc |
|---|---|
| Speciality | Social Worker |
| Location | 126 Locust Ln, Media, Pennsylvania |
| Authorized Official Name and Position | Kristina Vacha (OWNER) |
| Authorized Official Contact | 4842748957 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Clinical Associates Llc 126 Locust Ln Media PA 19063-1711 Ph: () - | Summit Clinical Associates Llc 126 Locust Ln Media PA 19063-1711 Ph: (484) 274-8957 |
| NPI Number | 1528765625 |
|---|---|
| Provider Enumeration Date | 02/09/2023 |
| Last Update Date | 02/09/2023 |
| Certification Date | 02/09/2023 |
| Medicare PECOS PAC ID | 0446625578 |
|---|---|
| Medicare Enrollment ID | O20230403002720 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528765625 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kristina Marie Vacha |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598006025 PECOS PAC ID: 1355716481 Enrollment ID: I20230403002748 |
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