Richard Albert Gaudet (NPI# 1669627477, PAC ID# 4789915695) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHOLOGIST, CLINICAL.
| Nation Provider ID (NPI) | 1669627477 |
| PAC ID by PECOS | 4789915695 |
| Professional Enrollment ID | I20191008000646 |
| Full Name | Richard Albert Gaudet |
| Organization Legal Name | SENIOR CARE THERAPY OF PENNSYLVANIA LLC |
| Address |
815 Chester Pike Prospect Park PA 19076-2322 |
| Phone Number | 9732640023 |
| Gender | M |
| Graduation Year | 1994 |
| Primary Specialty | PSYCHOLOGIST, CLINICAL |
| Group Practice PAC ID | 2264791268 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 815 Chester Pike, Prospect Park, PA 19076-2322 | 9732640023 | SENIOR CARE THERAPY OF PENNSYLVANIA LLC |
| Organization Legal Name | SENIOR CARE THERAPY OF PENNSYLVANIA LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia J Corbin | Clinical Social Worker | Senior Care Therapy of Pennsylvania LLC | 815 Chester Pike, Prospect Park, PA 19076-2322 |
| Jennifer L Costello-siri | Clinical Social Worker | Senior Care Therapy of Pennsylvania LLC | 815 Chester Pike, Prospect Park, PA 19076-2322 |
| Street Address |
815 CHESTER PIKE |
| City | PROSPECT PARK |
| State | PA |
| Zip | 19076-2322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cynthia J Corbin | Clinical Social Worker | Senior Care Therapy of Pennsylvania LLC | 815 Chester Pike, Prospect Park, PA 19076-2322 |
| Jennifer L Costello-siri | Clinical Social Worker | Senior Care Therapy of Pennsylvania LLC | 815 Chester Pike, Prospect Park, PA 19076-2322 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mukesh Patel | Internal Medicine | 1421 Lincoln Ave, Prospect Park, PA 19076-1107 | |
| Albert Scott Lakernick | Chiropractic | 625 Chester Pike, Prospect Park, PA 19076-1506 |
| City | PROSPECT PARK |
| Zip Code | 19076 |
| Specialty | PSYCHOLOGIST, CLINICAL |
| City + Specialty | PROSPECT PARK + PSYCHOLOGIST, CLINICAL |
Please comment or provide details below to improve the information on Richard Albert Gaudet.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.