| Lisa Marie Scully, CRNP | |
|
100 Presidential Blvd Lbby G1, Bala Cynwyd, PA 19004-1108 | |
| (484) 270-8817 | |
| Not Available |
| Full Name | Lisa Marie Scully |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 100 Presidential Blvd Lbby G1, Bala Cynwyd, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770127326 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | SP021117 (Pennsylvania) | Primary |
| Entity Name | Collaborative Psychiatric Associates |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437215845 PECOS PAC ID: 0749192805 Enrollment ID: O20031105000685 |
| Entity Name | Behavioral Solutions Medical, Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1790257335 PECOS PAC ID: 4183964489 Enrollment ID: O20190325000831 |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Marie Scully, CRNP 100 Presidential Blvd Lbby G1, Bala Cynwyd, PA 19004-1108 Ph: (484) 270-8817 | Lisa Marie Scully, CRNP 100 Presidential Blvd Lbby G1, Bala Cynwyd, PA 19004-1108 Ph: (484) 270-8817 |
Catherine Kazanjian, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 333 E City Ave Ste Il27, Bala Cynwyd, PA 19004 Phone: 610-668-9999 | |
Jeanine Dunmore, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 E City Ave, Suite 100, Bala Cynwyd, PA 19004 Phone: 610-617-1300 Fax: 610-617-0199 | |
Mrs. Diyong S Graham, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Monument Rd Ste 600, Bala Cynwyd, PA 19004 Phone: 610-753-1271 | |
Kelly A Peszko, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2 Bala Plz, Suite Il-27, Bala Cynwyd, PA 19004 Phone: 610-668-9999 | |
Angela G Houck, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Monument Rd Ste 300, Bala Cynwyd, PA 19004 Phone: 610-747-3400 Fax: 610-617-2481 | |
Katharine Grace Burke, AGPCNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Monument Rd, Bala Cynwyd, PA 19004 Phone: 610-747-3400 | |
Sandra Adams Ohaire, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 150 Monument Rd, Suite 300, Bala Cynwyd, PA 19004 Phone: 610-617-2400 |