| Judy L Prescott Llc | |
|
28 S Pitt St Carlisle PA 17013-3211 | |
| (717) 440-1071 | |
| Not Available |
| Full Name | Judy L Prescott Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 28 S Pitt St, Carlisle, Pennsylvania |
| Authorized Official Name and Position | Judy Lynn Prescott (SOLE MEMBER) |
| Authorized Official Contact | 7174401071 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judy L Prescott Llc 28 S Pitt St Carlisle PA 17013-3211 Ph: (717) 440-1071 | Judy L Prescott Llc 28 S Pitt St Carlisle PA 17013-3211 Ph: (717) 440-1071 |
| NPI Number | 1396107942 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 03/23/2016 |
| Medicare PECOS PAC ID | 4789974494 |
|---|---|
| Medicare Enrollment ID | O20160609000234 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396107942 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PS016139 (Pennsylvania) | Primary |
| Provider Name | Judy Lynn Prescott |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831198977 PECOS PAC ID: 5597865717 Enrollment ID: I20070717000219 |
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