| Susquehanna Valley Community Mental Health Services | |
|
546 Broadway Hanover PA 17331-2007 | |
| (717) 739-6576 | |
| (717) 630-9678 |
| Full Name | Susquehanna Valley Community Mental Health Services |
|---|---|
| Speciality | Counselor |
| Location | 546 Broadway, Hanover, Pennsylvania |
| Authorized Official Name and Position | Sharron Hill (CEO) |
| Authorized Official Contact | 7177396576 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Susquehanna Valley Community Mental Health Services 546 Broadway Hanover PA 17331-2007 Ph: (717) 739-6576 | Susquehanna Valley Community Mental Health Services 546 Broadway Hanover PA 17331-2007 Ph: (717) 739-6576 |
| NPI Number | 1477947620 |
|---|---|
| Provider Enumeration Date | 03/26/2015 |
| Last Update Date | 10/18/2021 |
| Certification Date | 10/18/2021 |
| Medicare PECOS PAC ID | 2365742830 |
|---|---|
| Medicare Enrollment ID | O20151207000187 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477947620 | NPI | - | NPPES |
| 102974417 | Medicaid | PA |
| Provider Name | Sharon R Kim |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184960841 PECOS PAC ID: 0244451540 Enrollment ID: I20141030001847 |
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