Organization
A & A PSYCHOLOGICAL SERVICE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON MARY LIMERICK-GNAS M.A. (LICENSED PSYCHOLOGIST)
(724) 630-3978
Entity
Organization
Contact information
Practice address
500 DARR AVE, FARRELL, PA 16121-2022
(724) 630-3978
(724) 728-3160
Mailing address
190 STONE QUARRY RD, MONACA, PA 15061-2448
(724) 630-3978
(724) 728-3160
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
PS006277 L
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS 006277 L
PA
103TC0700X
Clinical Psychologist
PS006277 L
PA
103TC1900X
Counseling Psychologist
PS006277 L
PA
103TC1900X
Counseling Psychologist
PS006277-L
PA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
PS006277 L
PA
103TF0000X
Family Psychologist
PS006277-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1019938840 0001
—
PA
01
—
500833
HIGHMARK BLUE CROSS BLUE SHIELD
PA
01
—
968069
HIGHMARK BLUE CROSS BLUE SHIELD
PA
01
—
MASTER LEVEL THER
UPMC
PA
Enumeration date
08/15/2008
Last updated
09/02/2009
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