Valatie Psychological Services, Pllc | |
1042 Kinderhook St Valatie NY 12184-9743 | |
(518) 758-2237 | |
Not Available |
Full Name | Valatie Psychological Services, Pllc |
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Speciality | Psychologist |
Location | 1042 Kinderhook St, Valatie, New York |
Authorized Official Name and Position | Peter Andre Moisan (STAFF PSYCHOLOGIST) |
Authorized Official Contact | 5186108103 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valatie Psychological Services, Pllc Po Box 560 Valatie NY 12184-0560 Ph: (518) 610-8103 | Valatie Psychological Services, Pllc 1042 Kinderhook St Valatie NY 12184-9743 Ph: (518) 758-2237 |
NPI Number | 1104456193 |
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Provider Enumeration Date | 01/19/2020 |
Last Update Date | 03/01/2020 |
Certification Date | 03/01/2020 |
Medicare PECOS PAC ID | 0648698795 |
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Medicare Enrollment ID | O20200807001613 |
Identifier | Type | State | Issuer |
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1104456193 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Provider Name | Peter Andre Moisan |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1598835175 PECOS PAC ID: 5991792491 Enrollment ID: I20040427001272 |
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