| Charlotte H Leedom, MA | |
|
807 Lawn Ave, Sellersville, PA 18960-1549 | |
| (215) 257-6551 | |
| (215) 453-5181 |
| Full Name | Charlotte H Leedom |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 807 Lawn Ave, Sellersville, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326055054 | NPI | - | NPPES |
| 553347000 | Other | PA | MAGELLAN BEHAVIORAL HEALT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC002030 (Pennsylvania) | Primary |
| Entity Name | Penn Foundation Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073572715 PECOS PAC ID: 0446246011 Enrollment ID: O20040421000664 |
| Mailing Address | Practice Location Address |
|---|---|
| Charlotte H Leedom, MA 807 Lawn Ave, Sellersville, PA 18960-1549 Ph: (215) 257-6551 | Charlotte H Leedom, MA 807 Lawn Ave, Sellersville, PA 18960-1549 Ph: (215) 257-6551 |
Lisa A Vasey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-453-5181 | |
Sara E Gausz, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-453-5181 | |
Lisa M Wurster, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-257-9347 | |
Amy C Rushin, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-453-5181 | |
Mr. Tedd M Bradford, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-453-5181 | |
Aileen Hediger, M.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-257-6570 | |
Michelle Worman-stengel, M.S.W. Counselor Medicare: Not Enrolled in Medicare Practice Location: 807 Lawn Ave, Sellersville, PA 18960 Phone: 215-257-6551 Fax: 215-453-5181 |