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Contact Information

MARY T DURSO, LICENSED PSYCHOLOGIS
359 S MOUNTAIN BLVD
SUITE C2
MOUNTAIN TOP, PA18707
 Phone: 570-403-5080
 Fax: 570-403-5079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MARY T DURSO · (Female)

NPI # 1942259619
Status Active
Credentials LICENSED PSYCHOLOGIS
Entity Individual
Enumeration date 05/09/2006
Last updated 04/09/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • PA License # PS006873L
  • PA Medicaid 0016193400002
  • PA Other 2056962 CIGNA
  • PA Other 080953 FIRST PRIORITY HLTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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