| Tri State Neuropsychology Consultants, Pc | |
|
1850 Warriors Rd Pittsburgh PA 15205-3904 | |
| (412) 409-9017 | |
| (412) 212-7621 |
| Full Name | Tri State Neuropsychology Consultants, Pc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1850 Warriors Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Jason Chong (OWNER) |
| Authorized Official Contact | 5037246161 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tri State Neuropsychology Consultants, Pc 1208 Chase St Morgantown WV 26508-6840 Ph: (503) 724-6161 | Tri State Neuropsychology Consultants, Pc 1850 Warriors Rd Pittsburgh PA 15205-3904 Ph: (412) 409-9017 |
| NPI Number | 1598355679 |
|---|---|
| Provider Enumeration Date | 01/22/2021 |
| Last Update Date | 01/22/2021 |
| Certification Date | 01/22/2021 |
| Medicare PECOS PAC ID | 1254745581 |
|---|---|
| Medicare Enrollment ID | O20210128001337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598355679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Jason Alexander Chong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386923480 PECOS PAC ID: 2163695628 Enrollment ID: I20210128001442 |
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