| Lawrence M Satifka Ma Llc | |
|
200 Pine St Ste 400 Williamsport PA 17701-6503 | |
| (570) 772-3090 | |
| (570) 300-2371 |
| Full Name | Lawrence M Satifka Ma Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 200 Pine St Ste 400, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Lawrence Matthew Satifka (PA LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5707723090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lawrence M Satifka Ma Llc 200 Pine St Ste 400 Williamsport PA 17701-6503 Ph: (570) 772-3090 | Lawrence M Satifka Ma Llc 200 Pine St Ste 400 Williamsport PA 17701-6503 Ph: (570) 772-3090 |
| NPI Number | 1104281989 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 12/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104281989 | NPI | - | NPPES |
| 100743420005 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PS005192L (Pennsylvania) | Primary |
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