A & a Psychological Service PC
Organization Active NPI Clinical Child & Adolescent Psychologist · Farrell, PA
NPI 1972759413 · NPPES record last updated Sep 2, 2009
Key facts
- NPI
- 1972759413
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Child & Adolescent Psychologist 103TC2200X
- License
- PS006277 L (PA)
- Legal business name
- A & A PSYCHOLOGICAL SERVICE PC
- Practice address
- 500 Darr Ave
Farrell, PA 16121-2022 - Phone
- (724) 630-3978
- Fax
- (724) 728-3160
- NPI assigned
- Aug 15, 2008
- Organization subpart
- No
Authorized official
- Name
- Mrs. Shannon Mary Limerick-Gnas, M.A.
- Title
- Licensed Psychologist
- Phone
- (724) 630-3978
Practitioners 1
-
Shannon Limerick-Gnas, MA LIC PSYCHOLOGIST
National Provider Directory
Locations
501 Darr Ave
Farrell, PA 16121
Phone (724) 630-3978
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist |
103T00000X | PS006277 L | PA | |
| Cognitive & Behavioral Psychologist |
103TB0200X | PS 006277 L | PA | |
| Clinical Psychologist |
103TC0700X | PS006277 L | PA | |
| Counseling Psychologist |
103TC1900X | PS006277 L | PA | |
| Counseling Psychologist |
103TC1900X | PS006277-L | PA | |
| Clinical Child & Adolescent Psychologist |
103TC2200X | PS006277 L | PA | Yes |
| Family Psychologist |
103TF0000X | PS006277-L | PA |
Addresses
Primary practice location
500 Darr Ave
Farrell, PA 16121-2022
Mailing address
190 Stone Quarry Rd
Monaca, PA 15061-2448
Phone (724) 630-3978
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1019938840 0001 | Medicaid | PA | |
| 968069 | Other | PA | HIGHMARK BLUE CROSS BLUE SHIELD |
| 500833 | Other | PA | HIGHMARK BLUE CROSS BLUE SHIELD |
| MASTER LEVEL THER | Other | PA | UPMC |
Other providers in Farrell, PA
All providers in Farrell, PA · Clinical Child & Adolescent Psychologist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 2, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.