MARY TEN BROECH DURSO (NPI# 1942259619) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942259619 |
| Entity Type | Individual |
| Full Name | MARY TEN BROECH DURSO |
| Credential | LICENSED PSYCHOLOGIS |
| Practice Address |
359 S Mountain Blvd Suite C2 Moutaintop PA 18707 |
| Mailing Address |
Hc 88 Box 434 Pocono Lake PA 18347-9512 |
| Practice Telephone | 5704035080 |
| Practice Fax Number | 5704035079 |
| Mailing Telephone | 5706460870 |
| Mailing Fax Number | 5704035079 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2014-04-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103T00000X | Psychologist | PS006873L | PA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | CIGNA | 2056962 | 01 |
| PA | FIRST PRIORITY HLTH | 080953 | 01 |
| PA | 0016193400002 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295924389 | Mary Linda Durso | Social Worker | 4822 Sargent Rd Ne, Washington, DC 20017-2840 | 2007-10-15 |
| Street Address |
359 S MOUNTAIN BLVD SUITE C2 |
| City | MOUTAINTOP |
| State | PA |
| Zip Code | 18707 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770953994 | Geisinger Wyoming Valley Medical Center | General Acute Care Hospital | 35 South Mountain Blvd, Mountain Top, PA 18707 | 2015-09-30 |
| 1003152190 | Patrick J Connors | Chiropractor | 124 N Mountain Blvd, Mountain Top, PA 18707 | 2012-12-18 |
| 1053674234 | Alexanne Kennedy Conklin | Speech-Language Pathologist | 185 South Mountain Blvd, Mountain Top, PA 18707 | 2012-06-21 |
| 1639440605 | Anne L Cox | Social Worker | 359 S.mountaintop Boulevard, Suite C-2, Mountaintop, PA 18707 | 2012-01-23 |
| 1538445218 | Geisinger Clinic | Pediatrics | 35 S. Mountain Blvd, Mountain Top, PA 18707 | 2011-10-26 |
| 1073665790 | Carmen Ardo | Psychologist | Confidential Counseling, 359 South Mountain Blvd. Suite C-2, Mountaintop, PA 18707 | 2007-01-16 |
| 1396892592 | Maureen Ann Jesikiewicz | Pharmacist | Triangle Pharmay 89 S Main St Mountaintop Pa 18707, Mountaintop, PA 18707 | 2007-01-03 |
| 1467517474 | James Joseph Johns Dds Jr. | Dentist | 151 South Mountain Blvd, Mountain Top, PA 18707 | 2006-12-27 |
| 1467547208 | Penn Neurology and Psychiatry Associates, PC | Psychiatry & Neurology | 10 1/2 South Mountain Boulevard, Mountain Top, PA 18707 | 2006-10-04 |
| 1154438752 | William Dietweiler Ziegler IIi | Dentist | 313 S Mountain Blvd, Mountaintop, PA 18707 | 2006-08-23 |
| Find all providers in zip 18707 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
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| Find all providers with the same taxonomy | ||||
| City | MOUTAINTOP |
| Zip Code | 18707 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.