| Jessica C Effrig Psychotherapy LLC | |
|
141 E Fairmount Ave State College PA 16801-5315 | |
| (814) 234-3464 | |
| Not Available |
| Full Name | Jessica C Effrig Psychotherapy LLC |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 141 E Fairmount Ave, State College, Pennsylvania |
| Authorized Official Name and Position | Jessica Crysten Effrig (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 8149542448 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica C Effrig Psychotherapy LLC 141 E Fairmount Ave State College PA 16801-5315 Ph: (814) 234-3464 | Jessica C Effrig Psychotherapy LLC 141 E Fairmount Ave State College PA 16801-5315 Ph: (814) 234-3464 |
| NPI Number | 1740703636 |
|---|---|
| Provider Enumeration Date | 07/21/2017 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Medicare PECOS PAC ID | 7810433992 |
|---|---|
| Medicare Enrollment ID | O20240725000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740703636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | () | Primary |
| Provider Name | Jessica Crysten Effrig |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588057509 PECOS PAC ID: 8729524806 Enrollment ID: I20240725000475 |
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