| Transitions, Providing Support For Change | |
|
255 Butler Ave Lancaster PA 17601-6308 | |
| (717) 396-1365 | |
| (717) 396-1365 |
| Full Name | Transitions, Providing Support For Change |
|---|---|
| Speciality | Psychologist |
| Location | 255 Butler Ave, Lancaster, Pennsylvania |
| Authorized Official Name and Position | Susan J. Atkins (OWNER) |
| Authorized Official Contact | 7173961365 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Transitions, Providing Support For Change 17 Riverside Ave Lancaster PA 17602-3245 Ph: (717) 396-1365 | Transitions, Providing Support For Change 255 Butler Ave Lancaster PA 17601-6308 Ph: (717) 396-1365 |
| NPI Number | 1174664973 |
|---|---|
| Provider Enumeration Date | 02/12/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335384601 |
|---|---|
| Medicare Enrollment ID | O20130315000077 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174664973 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS006493L (Pennsylvania) | Primary |
| Provider Name | Susan J Atkins |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447321252 PECOS PAC ID: 7113975806 Enrollment ID: I20050110000567 |
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