Dr Tammy Lucas King, PSYD | |
6079 Main Street, East Petersburg, PA 17520 | |
(717) 560-1908 | |
(717) 560-4941 |
Full Name | Dr Tammy Lucas King |
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Gender | Female |
Speciality | Psychologist |
Location | 6079 Main Street, East Petersburg, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225156110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | PS016189 (Pennsylvania) | Primary |
Entity Name | Mindy Staum Lcsw Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1083922561 PECOS PAC ID: 5890952998 Enrollment ID: O20170127000738 |
Mailing Address | Practice Location Address |
---|---|
Dr Tammy Lucas King, PSYD 200 North 7th Street, Lebanon, PA 17046 Ph: (717) 273-1710 | Dr Tammy Lucas King, PSYD 6079 Main Street, East Petersburg, PA 17520 Ph: (717) 560-1908 |
William R Adams, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6079 Main St, East Petersburg, PA 17520 Phone: 717-560-1908 Fax: 717-560-4941 | |
Dr. John C Grisbacher, PSY D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6079 Main St, East Petersburg, PA 17520 Phone: 717-560-1908 Fax: 717-560-4941 | |
Dr. Kevin William Kelly, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2013 State Street, East Petersburg, PA 17520 Phone: 717-291-8283 Fax: 717-581-6528 |