| Michele Mattie, Phd, Llc | |
|
517 Pierce St Suite B Kingston PA 18704-5731 | |
| (570) 718-1150 | |
| (570) 714-1321 |
| Full Name | Michele Mattie, Phd, Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 517 Pierce St, Kingston, Pennsylvania |
| Authorized Official Name and Position | Michele Mattie (OWNER) |
| Authorized Official Contact | 5707181150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Michele Mattie, Phd, Llc 517 Pierce St Suite B Kingston PA 18704-5731 Ph: (570) 718-1150 | Michele Mattie, Phd, Llc 517 Pierce St Suite B Kingston PA 18704-5731 Ph: (570) 718-1150 |
| NPI Number | 1477655314 |
|---|---|
| Provider Enumeration Date | 09/01/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477655314 | NPI | - | NPPES |
| 1285665075 | Other | PA | INDIVIDUAL NPI |
| 359151 | Other | PA | BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS008609L (Pennsylvania) | Primary |
Advanced Psychological Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Wyoming Ave, Kingston, PA 18704 Phone: 570-552-3900 Fax: 570-552-3907 | |
Behavioral Medicine Associates Of Northeastern Lennsylvania, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 Pierce St Ste 303, Kingston, PA 18704 Phone: 570-690-5159 | |
Bright Achievements Of Pa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 270 Pierce St Ste 106, Kingston, PA 18704 Phone: 732-430-9275 Fax: 732-377-5662 | |
Advances Psychological And Counseling Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Wyoming Ave, Kingston, PA 18704 Phone: 570-552-3760 Fax: 570-552-3765 | |
Omni Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Pierce St Ste 100, Kingston, PA 18704 Phone: 570-455-0322 Fax: 570-455-0566 | |
Community Counseling Services Of Nepa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 562 Wyoming Ave, Kingston, PA 18704 Phone: 570-552-3700 Fax: 570-552-3733 | |
Allied Health Care Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 S Dawes Ave, Kingston, PA 18704 Phone: 570-348-2911 Fax: 570-341-4646 |