| Kayli Ezzo, | |
|
100 Northpointe Cir Ste 306, Seven Fields, PA 16046-7851 | |
| (724) 772-4848 | |
| (724) 772-4888 |
| Full Name | Kayli Ezzo |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 100 Northpointe Cir Ste 306, Seven Fields, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447726716 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW023469 (Pennsylvania) | Primary |
| Entity Name | Cranberry Psychological Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598745135 PECOS PAC ID: 3072501626 Enrollment ID: O20040504000001 |
| Mailing Address | Practice Location Address |
|---|---|
| Kayli Ezzo, 100 Northpointe Cir Ste 306, Seven Fields, PA 16046-7851 Ph: (724) 772-4848 | Kayli Ezzo, 100 Northpointe Cir Ste 306, Seven Fields, PA 16046-7851 Ph: (724) 772-4848 |
Erika Costanzo, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 539 Dorchester Dr, Seven Fields, PA 16046 Phone: 610-513-5669 | |
Mr. Michael Thomas Beatty, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Northpointe Cir, Suite 306, Seven Fields, PA 16046 Phone: 724-772-4848 Fax: 724-772-4888 | |
Nichole Maria Budosh, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 100 Northpointe Cir Ste 306, Seven Fields, PA 16046 Phone: 724-772-4848 | |
Katherine Holzworth, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Northpointe Cir Ste 306, Seven Fields, PA 16046 Phone: 724-772-4848 | |
James Shamlin, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 100 Northpointe Cir, Suite 306, Seven Fields, PA 16046 Phone: 724-772-4848 Fax: 724-772-4888 | |
Rebecca S. Krol, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 100 Northpointe Cir, Suite 306, Seven Fields, PA 16046 Phone: 724-772-4848 Fax: 724-772-4888 |