| Dr Roy A Smith Jr, PHD | |
|
200 N. 7th Street, Lebanon, PA 17046-5040 | |
| (717) 272-1653 | |
| (717) 272-4166 |
| Full Name | Dr Roy A Smith Jr |
|---|---|
| Gender | Male |
| Speciality | Psychologist |
| Location | 200 N. 7th Street, Lebanon, Pennsylvania |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194722181 | NPI | - | NPPES |
| 001511178 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS004266L (Pennsylvania) | Primary |
| Entity Name | Pennsylvania Counseling Services, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1669474979 PECOS PAC ID: 1355331471 Enrollment ID: O20040512001114 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Roy A Smith Jr, PHD 200 N. 7th Street, Lebanon, PA 17046-5040 Ph: (717) 273-1710 | Dr Roy A Smith Jr, PHD 200 N. 7th Street, Lebanon, PA 17046-5040 Ph: (717) 272-1653 |
Peter J Garito, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 94 Norway Ln, Lebanon, PA 17042 Phone: 717-926-0775 | |
Wayne Lawrence Roffer, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 | |
Dr. Daniel David Lloyd, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 | |
Dr. Bryan Gottlieb, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 964 Isabel Dr, Lebanon, PA 17042 Phone: 717-274-9777 Fax: 717-274-9815 | |
Melanie A Baer, PSY D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 283 S Butler Rd, Lebanon, PA 17042 Phone: 717-273-8871 Fax: 717-270-2452 | |
Julie A Gordon-dueck, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 964 Isabel Dr, Lebanon, PA 17042 Phone: 717-274-9777 Fax: 717-274-9815 | |
Dr. Kerri Marie Garruba, PSY.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1700 S Lincoln Ave, Lebanon, PA 17042 Phone: 717-272-6621 |