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NORTHSHORE PSYCHOLOGICAL ASSOCIATES, LLC

Clinical Neuropsychologist

Erie, Pennsylvania

Provider NPI: 1891786331

Organization Information:
Organization Name:  NORTHSHORE PSYCHOLOGICAL ASSOCIATES, LLC
Organization is not Subpart
Authorized Official:  MICHAEL  SCHWABENBAUER  PARTNER  814-8778013

Practice Location:
120 E 2ND ST THIRD FLOOR ERIE, PA 16507 US
Tel: 814-877-8013  Fax: 814-877-8007

Business Mailing Address:
120 E 2ND ST THIRD FLOOR ERIE, PA 16507 US
Tel: 814-877-8013  Fax: 814-877-8007

Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist

Other Provider Identifiers:

IssuerNumberStateType
0019240150003PA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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