| Psychology Associates Of Bethlehem, Pc | |
|
264 E Broad St Bethlehem PA 18018-6224 | |
| (610) 866-9311 | |
| (610) 882-2072 |
| Full Name | Psychology Associates Of Bethlehem, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 264 E Broad St, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Joanne M Regina (CEO) |
| Authorized Official Contact | 6108669311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Associates Of Bethlehem, Pc 264 E Broad St Bethlehem PA 18018-6224 Ph: (610) 866-9311 | Psychology Associates Of Bethlehem, Pc 264 E Broad St Bethlehem PA 18018-6224 Ph: (610) 866-9311 |
| NPI Number | 1518942655 |
|---|---|
| Provider Enumeration Date | 12/13/2005 |
| Last Update Date | 03/28/2008 |
| Medicare PECOS PAC ID | 5395724025 |
|---|---|
| Medicare Enrollment ID | O20040716000314 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518942655 | NPI | - | NPPES |
| 747971 | Other | PA | HIGHMARK |
| 02372500 | Other | PA | CAPITAL BC |
| 0698905000 | Other | PA | INDEPENDENCE BC |
| 5471610 | Other | PA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS005682L (Pennsylvania) | Primary |
| Provider Name | Thomas D Sugalski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518954742 PECOS PAC ID: 8022006543 Enrollment ID: I20040504000599 |
| Provider Name | Joanne Marie Regina |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760470090 PECOS PAC ID: 8224057799 Enrollment ID: I20060925000377 |
| Provider Name | Scott J Bloszinsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1811985138 PECOS PAC ID: 6709901820 Enrollment ID: I20100914000101 |
| Provider Name | Jennifer Lee Brisbane |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1548535057 PECOS PAC ID: 9537320460 Enrollment ID: I20120419000485 |
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