Dr Theresa Ann Havel, PSYD | |
340 Montage Mountain Rd, Moosic, PA 18507-1782 | |
(570) 346-3686 | |
(570) 558-6838 |
Full Name | Dr Theresa Ann Havel |
---|---|
Gender | Female |
Speciality | Psychologist - Clinical |
Location | 340 Montage Mountain Rd, Moosic, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427383223 | NPI | - | NPPES |
1026969730001 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PS016798 (Pennsylvania) | Primary |
Entity Name | Supportive Care Of Pennsylvania Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174992275 PECOS PAC ID: 0143521211 Enrollment ID: O20151214002225 |
Mailing Address | Practice Location Address |
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Dr Theresa Ann Havel, PSYD 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 346-3686 | Dr Theresa Ann Havel, PSYD 340 Montage Mountain Rd, Moosic, PA 18507-1782 Ph: (570) 346-3686 |
Dr. John Girard Kuna, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4101 Birney Ave, Moosic, PA 18507 Phone: 570-961-3361 Fax: 570-961-3364 | |
Ronda Elizabeth Slonaker, MS Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4113 Birney Ave, Moosic, PA 18507 Phone: 570-489-5561 | |
Danielle M Ross, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 4101 Birney Ave, Moosic, PA 18507 Phone: 570-961-3361 Fax: 570-961-3364 |