| Marguerite Mosack, Phd. | |
|
239 Schuyler Ave Suite 350 Kingston PA 18704-3336 | |
| (570) 283-5580 | |
| (570) 283-5583 |
| Full Name | Marguerite Mosack, Phd. |
|---|---|
| Speciality | Psychologist |
| Location | 239 Schuyler Ave, Kingston, Pennsylvania |
| Authorized Official Name and Position | Marguerite Mosack (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5702835580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marguerite Mosack, Phd. 239 Schuyler Ave Suite 350 Kingston PA 18704-3336 Ph: (570) 283-5580 | Marguerite Mosack, Phd. 239 Schuyler Ave Suite 350 Kingston PA 18704-3336 Ph: (570) 283-5580 |
| NPI Number | 1831582311 |
|---|---|
| Provider Enumeration Date | 03/09/2015 |
| Last Update Date | 03/09/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831582311 | NPI | - | NPPES |
| 01600625 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (Pennsylvania) | Secondary |
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