| Parkside Psychological Associates | |
|
435 Chestnut St Meadville PA 16335-4404 | |
| (814) 807-0861 | |
| (814) 807-0863 |
| Full Name | Parkside Psychological Associates |
|---|---|
| Speciality | Counselor |
| Location | 435 Chestnut St, Meadville, Pennsylvania |
| Authorized Official Name and Position | Audrey S Smith (BUSINESS OWNER) |
| Authorized Official Contact | 8148070861 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Parkside Psychological Associates 435 Chestnut St Meadville PA 16335-4404 Ph: (814) 807-0861 | Parkside Psychological Associates 435 Chestnut St Meadville PA 16335-4404 Ph: (814) 807-0861 |
| NPI Number | 1205081221 |
|---|---|
| Provider Enumeration Date | 11/18/2008 |
| Last Update Date | 11/30/2020 |
| Certification Date | 11/30/2020 |
| Medicare PECOS PAC ID | 3577990415 |
|---|---|
| Medicare Enrollment ID | O20200305000917 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205081221 | NPI | - | NPPES |
| 518561 | Other | PA | VALUE OPTION |
| 1316981590 | Other | NPI | |
| 1205081221 | Other | GROUP NPI | |
| 00182711 | Medicaid | PA | |
| 1024120790006 | Medicaid | PA | |
| 1306866959 | Other | NPI | |
| 462825 | Other | PA | VALUE OPTIONS |
| Provider Name | Paula Dedionisio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104835107 PECOS PAC ID: 5698939734 Enrollment ID: I20120621000106 |
| Provider Name | Amy Loren Coe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982009106 PECOS PAC ID: 9537594759 Enrollment ID: I20200116001902 |
| Provider Name | Susan Christine Laythe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760783237 PECOS PAC ID: 5890122733 Enrollment ID: I20200305001089 |
| Provider Name | Tracy Lynn Leet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376883868 PECOS PAC ID: 0446689434 Enrollment ID: I20200325003802 |
| Provider Name | Rebecca L Anthony |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568876654 PECOS PAC ID: 4284016833 Enrollment ID: I20220729001310 |
| Provider Name | Nora Lynn Kreider |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1942365325 PECOS PAC ID: 9234588542 Enrollment ID: I20231212003066 |
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