| Wiley Corporation | |
|
3701 Burgoon Road Altoona PA 16602-1715 | |
| (814) 942-4045 | |
| (814) 944-0419 |
| Full Name | Wiley Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 3701 Burgoon Road, Altoona, Pennsylvania |
| Authorized Official Name and Position | Mary O Leary Wiley (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8149424045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wiley Corporation 3701 Burgoon Road Altoona PA 16602-1715 Ph: (814) 942-4045 | Wiley Corporation 3701 Burgoon Road Altoona PA 16602-1715 Ph: (814) 942-4045 |
| NPI Number | 1205995669 |
|---|---|
| Provider Enumeration Date | 12/08/2006 |
| Last Update Date | 04/23/2008 |
| Medicare PECOS PAC ID | 0648262782 |
|---|---|
| Medicare Enrollment ID | O20040331000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205995669 | NPI | - | NPPES |
| 547426000 | Other | PA | HIGHMARK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS008198L (Pennsylvania) | Primary |
| Provider Name | Mary O Wiley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356473763 PECOS PAC ID: 5496645897 Enrollment ID: I20040318001077 |
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