| The Center For Psychological Services & Life Coaching | |
|
1275 S Main St Ste 101 Greensburg PA 15601-5385 | |
| (724) 221-6394 | |
| Not Available |
| Full Name | The Center For Psychological Services & Life Coaching |
|---|---|
| Speciality | Psychologist |
| Location | 1275 S Main St Ste 101, Greensburg, Pennsylvania |
| Authorized Official Name and Position | Jamie Michelle King (MEMBER/PSYCHOLOGIST) |
| Authorized Official Contact | 7242216394 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Psychological Services & Life Coaching 1275 S Main St Ste 101 Greensburg PA 15601-5385 Ph: (724) 221-6394 | The Center For Psychological Services & Life Coaching 1275 S Main St Ste 101 Greensburg PA 15601-5385 Ph: (724) 221-6394 |
| NPI Number | 1144757402 |
|---|---|
| Provider Enumeration Date | 05/17/2017 |
| Last Update Date | 05/14/2023 |
| Certification Date | 05/14/2023 |
| Medicare PECOS PAC ID | 3274899513 |
|---|---|
| Medicare Enrollment ID | O20171102001203 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144757402 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS017392 (Pennsylvania) | Primary |
| Provider Name | Sharon A Marian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073690368 PECOS PAC ID: 9234366527 Enrollment ID: I20131211001960 |
| Provider Name | Jamie M King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497743199 PECOS PAC ID: 8123251527 Enrollment ID: I20140509001916 |
| Provider Name | Debra L Gress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538343371 PECOS PAC ID: 1456625219 Enrollment ID: I20170919000655 |
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