Thomas P Hathaway Inc | |
1412 Mount Royal Blvd Glenshaw PA 15116-2257 | |
(412) 487-0949 | |
Not Available |
Full Name | Thomas P Hathaway Inc |
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Speciality | Social Worker |
Location | 1412 Mount Royal Blvd, Glenshaw, Pennsylvania |
Authorized Official Name and Position | Thomas P Hathaway (PROVIDER) |
Authorized Official Contact | 4124870949 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Thomas P Hathaway Inc 1821 Shaler Dr Glenshaw PA 15116-2155 Ph: (412) 926-0730 | Thomas P Hathaway Inc 1412 Mount Royal Blvd Glenshaw PA 15116-2257 Ph: (412) 487-0949 |
NPI Number | 1891348744 |
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Provider Enumeration Date | 07/19/2019 |
Last Update Date | 07/19/2019 |
Medicare PECOS PAC ID | 7012246994 |
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Medicare Enrollment ID | O20190903002398 |
Identifier | Type | State | Issuer |
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1891348744 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Thomas P Hathaway |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1689652984 PECOS PAC ID: 5395643944 Enrollment ID: I20120912000712 |
Shawn Mcgill Msw Consulting Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1406 Mount Royal Blvd, Suite 1, Glenshaw, PA 15116 Phone: 412-781-3829 |