| Jason Matthew Kirk, MA, LPC | |
|
1120 W Township Line Rd Ste 101, Havertown, PA 19083-4930 | |
| (610) 708-0721 | |
| (267) 285-1994 |
| Full Name | Jason Matthew Kirk |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1120 W Township Line Rd Ste 101, Havertown, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720518327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC009646 (Pennsylvania) | Primary |
| Entity Name | Dtap Mental Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1518737824 PECOS PAC ID: 8123566155 Enrollment ID: O20240821001862 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Matthew Kirk, MA, LPC 1120 W Township Line Rd Ste 101, Havertown, PA 19083-4930 Ph: (610) 708-0721 | Jason Matthew Kirk, MA, LPC 1120 W Township Line Rd Ste 101, Havertown, PA 19083-4930 Ph: (610) 708-0721 |
Mrs. Melissa Scalzo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Old West Chester Pike, Havertown, PA 19083 Phone: 484-454-8700 Fax: 484-454-8706 | |
Elizabeth Cleary, Counselor Medicare: Not Enrolled in Medicare Practice Location: 66 Braeburn Rd, Havertown, PA 19083 Phone: 215-341-6384 | |
Melissa Matamoros, B.A Counselor Medicare: Not Enrolled in Medicare Practice Location: 145 N Eagle Rd, Havertown, PA 19083 Phone: 610-446-1861 | |
Susan S. Power, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2000 Old West Chester Pike, Havertown, PA 19083 Phone: 484-454-8700 Fax: 484-454-8706 | |
Maria Anne Spano, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2010 W Chester Pike, Havertown, PA 19083 Phone: 610-892-3800 | |
Kelly Anne Clarke, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 Phone: 484-535-1231 | |
Stephanie Bergey, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2010 W Chester Pike, Ste 314, Havertown, PA 19083 Phone: 610-892-3800 |