| Dianne Marino Surovcik Phd Dba Dms Psychological Services, Llc | |
|
175 W Butternut Rd Hellertown PA 18055-9712 | |
| (484) 851-3486 | |
| Not Available |
| Full Name | Dianne Marino Surovcik Phd Dba Dms Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 175 W Butternut Rd, Hellertown, Pennsylvania |
| Authorized Official Name and Position | Dianne Marino-surovcik Phd (OWNER) |
| Authorized Official Contact | 4848513486 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dianne Marino Surovcik Phd Dba Dms Psychological Services, Llc 175 W Butternut Rd Hellertown PA 18055-9712 Ph: (484) 851-3486 | Dianne Marino Surovcik Phd Dba Dms Psychological Services, Llc 175 W Butternut Rd Hellertown PA 18055-9712 Ph: (484) 851-3486 |
| NPI Number | 1609110691 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 05/21/2025 |
| Certification Date | 05/21/2025 |
| Medicare PECOS PAC ID | 1658524400 |
|---|---|
| Medicare Enrollment ID | O20130104000114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609110691 | NPI | - | NPPES |
| PS009188L | Other | PA | PA STATE BOARD OF PSYCHOLOGY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Dianne Marino-surovcik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1982668570 PECOS PAC ID: 1759323991 Enrollment ID: I20051208000562 |
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