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NPI Code Detail

MEDICARE: CARLA LYNN COX MD

MEDICARE: CARLA LYNN COX MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12084P0800XPsychiatry PhysicianMD037749EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1659362572
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARLA LYNN COX MD
Provider Business Mailing Address
First Line : 117 JUNIPER LANE
Second Line : LIGONIER VALLEY LEARNING CENTER INC
City : LIGONIER
State : PA
Zip : 15658
Country : US
Telephone Number : 724-238-5556
Fax Number : 724-238-9533
Provider Business Practice Location Address
First Line : 117 JUNIPER LANE
Second Line : LIGONIER VALLEY LEARNING CENTER INC
City : LIGONIER
State : PA
Zip : 15658
Country : US
Telephone Number : 724-238-5556
Fax Number : 724-238-9533
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2005
Last Update Date : 07/08/2007

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Practice Location Address:
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1437131893 — MS. ANNE M HALL M.ED., CRC, LPC
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1215911482 — MS. GLORIA CZERPAK LSW
Practice Location Address:
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1598740862 — MS. REBECCA ANN FAULK MED., CRC, LPC
Practice Location Address:
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1356328876 — MR. JOSEPH ALTMAN M.ED., LPC
Practice Location Address:
117 JUNIPER LN , LIGONIER VALLEY LEARNING CENTER
LIGONIER, PA
15658-9727
Practice Phone: 724-238-5556
Practice Fax: 724-238-9533

Directions to “ CARLA LYNN COX MD” Practice Location

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