| Edinboro Counseling And Psychological Services | |
|
7052 Route 6n Edinboro PA 16412-9610 | |
| (814) 734-3975 | |
| (814) 734-1265 |
| Full Name | Edinboro Counseling And Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 7052 Route 6n, Edinboro, Pennsylvania |
| Authorized Official Name and Position | Victor Masone (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 8147343975 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Edinboro Counseling And Psychological Services 7052 Route 6n Edinboro PA 16412-9610 Ph: (814) 734-3975 | Edinboro Counseling And Psychological Services 7052 Route 6n Edinboro PA 16412-9610 Ph: (814) 734-3975 |
| NPI Number | 1194266254 |
|---|---|
| Provider Enumeration Date | 03/09/2017 |
| Last Update Date | 11/02/2023 |
| Certification Date | 11/02/2023 |
| Medicare PECOS PAC ID | 2769758085 |
|---|---|
| Medicare Enrollment ID | O20171031002849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194266254 | NPI | - | NPPES |
| 1032749600003 | Medicaid | PA | |
| 606450 | Medicaid | PA | |
| 0011606710001 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS-003450-L (Pennsylvania) | Primary |
| Provider Name | Victor Jr Masone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881780435 PECOS PAC ID: 9436319548 Enrollment ID: I20120328000172 |
| Provider Name | Jacqueline Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770670689 PECOS PAC ID: 3779686035 Enrollment ID: I20160317000195 |
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