| Pathways Psychological Services, Pa | |
|
100 S Main St Suite 205 El Dorado KS 67042-3402 | |
| (316) 322-9500 | |
| (316) 322-9500 |
| Full Name | Pathways Psychological Services, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 100 S Main St, El Dorado, Kansas |
| Authorized Official Name and Position | Marcia L. Mccoy (OWNER) |
| Authorized Official Contact | 3163229500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pathways Psychological Services, Pa Po Box 606 El Dorado KS 67042-0606 Ph: (316) 322-9500 | Pathways Psychological Services, Pa 100 S Main St Suite 205 El Dorado KS 67042-3402 Ph: (316) 322-9500 |
| NPI Number | 1912021874 |
|---|---|
| Provider Enumeration Date | 03/18/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 8426153255 |
|---|---|
| Medicare Enrollment ID | O20070423000472 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912021874 | NPI | - | NPPES |
| 4716 | Other | KS | PREFERRED HEALTH SYSTEMS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 957 (Kansas) | Primary |
| Provider Name | Marcia L Mccoy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093802019 PECOS PAC ID: 8820194376 Enrollment ID: I20100818000037 |
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