| Suzanne R. Lucot Md Psychiatric Services Llc | |
|
3104 Unionville Rd Suite 175 Cranberry Township PA 16066-3415 | |
| (724) 776-3366 | |
| (724) 776-3367 |
| Full Name | Suzanne R. Lucot Md Psychiatric Services Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 3104 Unionville Rd, Cranberry Township, Pennsylvania |
| Authorized Official Name and Position | Suzanne Reichle Lucot (PRESIDENT) |
| Authorized Official Contact | 7247763366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne R. Lucot Md Psychiatric Services Llc 3104 Unionville Rd Suite 175 Cranberry Township PA 16066-3415 Ph: (724) 776-3366 | Suzanne R. Lucot Md Psychiatric Services Llc 3104 Unionville Rd Suite 175 Cranberry Township PA 16066-3415 Ph: (724) 776-3366 |
| NPI Number | 1689716672 |
|---|---|
| Provider Enumeration Date | 02/13/2007 |
| Last Update Date | 03/27/2015 |
| Medicare PECOS PAC ID | 1254644057 |
|---|---|
| Medicare Enrollment ID | O20150723006782 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689716672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | MD060218L (Pennsylvania) | Primary |
| Provider Name | Adrienne M Ingram Boslau |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831374057 PECOS PAC ID: 3678633922 Enrollment ID: I20081117000777 |
| Provider Name | Mary Adele Maher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548510027 PECOS PAC ID: 4486977907 Enrollment ID: I20150108000178 |
| Provider Name | Suzanne R Lucot |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629110606 PECOS PAC ID: 4981917796 Enrollment ID: I20150723006943 |
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