| George David Lutchendorf, | |
| 1517 Durham Rd, Penndel, PA 19047-5707 | |
| (267) 587-2300 | |
| Not Available | 
| Full Name | George David Lutchendorf | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Mental Health | 
| Location | 1517 Durham Rd, Penndel, Pennsylvania | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1659854354 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary | 
| Entity Name | Penndel Mental Health Center, Inc. | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1710019096 PECOS PAC ID: 0042293300 Enrollment ID: O20040609000667 | 
| Mailing Address | Practice Location Address | 
|---|---|
| George David Lutchendorf, 2005 Cabot Blvd W, Langhorne, PA 19047-1885 Ph: () - | George David Lutchendorf, 1517 Durham Rd, Penndel, PA 19047-5707 Ph: (267) 587-2300 | 
| Edward Donahue,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 267-587-2300 | |
| John Nolan,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 267-587-2300 | |
| Gabriella Ruiz,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 267-587-2300 | |
| Kripaya Varghese,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 267-587-2300 | |
| Miriam Kvatsashvili,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 267-587-2300 | |
| Lauren Siletskil,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 267-587-2300 | |
| Taylor Carter,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 1517 Durham Rd, Penndel, PA 19047 Phone: 267-587-2300 |