| Ventura Psychological Services, Inc. | |
|
409 E Elm St Lebanon PA 17042-7629 | |
| (717) 270-8844 | |
| (717) 270-1191 |
| Full Name | Ventura Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 409 E Elm St, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Georgette Rose Ventura (LICENSED PSYCHOLOGIST/PRESIDENT) |
| Authorized Official Contact | 7172708844 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ventura Psychological Services, Inc. 409 E Elm St Lebanon PA 17042-7629 Ph: (717) 270-8844 | Ventura Psychological Services, Inc. 409 E Elm St Lebanon PA 17042-7629 Ph: (717) 270-8844 |
| NPI Number | 1770563066 |
|---|---|
| Provider Enumeration Date | 01/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770563066 | NPI | - | NPPES |
| 001472946 0002 | Medicaid | PA | |
| 29912400 | Other | PA | MAGELLAN HEALTH SERVICES |
| 02643700 | Other | PA | CAPITAL BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS006312L (Pennsylvania) | Primary |
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