Individual
DR. MADELINE I MAYSONET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D
Contact information
Practice address
208 S 4TH ST, SUITE 4, LEWISBURG, PA 17837-1865
(570) 939-2282
Mailing address
208 S 4TH ST, SUITE 4, LEWISBURG, PA 17837-1865
(570) 939-2282
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
003332
PR
103TC0700X
Clinical Psychologist
Primary
PS017316
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002798606
BLUECROSS BLUESHIELD
PA
01
—
1027947040001
DEPARTMENT OF PUBLIC WELFARE
PA
01
—
1366626194
HUMANA
PA
01
—
272764
MEDICARE
PA
01
—
50115485
CAPITAL BLUECROSS
PA
Enumeration date
12/28/2007
Last updated
08/20/2013
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