Valley Outlooks | |
9589 Silverspot Dr Breinigsville PA 18031-9334 | |
(610) 762-8962 | |
Not Available |
Full Name | Valley Outlooks |
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Speciality | Counselor |
Location | 9589 Silverspot Dr, Breinigsville, Pennsylvania |
Authorized Official Name and Position | Stephanie Kapustic (LICENSED PROFESSIONAL COUNSELOR) |
Authorized Official Contact | 6107628962 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Valley Outlooks 9589 Silverspot Dr Breinigsville PA 18031-9334 Ph: (610) 762-8962 | Valley Outlooks 9589 Silverspot Dr Breinigsville PA 18031-9334 Ph: (610) 762-8962 |
NPI Number | 1013751064 |
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Provider Enumeration Date | 06/24/2024 |
Last Update Date | 06/24/2024 |
Certification Date | 06/24/2024 |
Medicare PECOS PAC ID | 7517498835 |
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Medicare Enrollment ID | O20240926004446 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013751064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Mary Martucci |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1114426517 PECOS PAC ID: 8325309586 Enrollment ID: I20180302002061 |
Provider Name | Stephanie F Kapustic |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1619347978 PECOS PAC ID: 7214479799 Enrollment ID: I20240612001410 |
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