Organization
VENTURA PSYCHOLOGICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGETTE ROSE VENTURA M.S. (LICENSED PSYCHOLOGIST/PRESIDENT)
(717) 270-8844
Entity
Organization
Contact information
Practice address
409 E ELM ST, LEBANON, PA 17042-7629
(717) 270-8844
(717) 270-1191
Mailing address
409 E ELM ST, LEBANON, PA 17042-7629
(717) 270-8844
(717) 270-1191
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS006312L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001472946 0002
—
PA
01
—
02643700
CAPITAL BLUE CROSS
PA
01
—
29912400
MAGELLAN HEALTH SERVICES
PA
Enumeration date
01/20/2006
Last updated
08/22/2020
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