MEDICARE: PRECISION PSYCHOLOGICAL AND EDUCATIONAL SERVICES, LLC

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
1	103T00000X	Psychologist

General Provider Information

NPI Number	:	1689546764
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISION PSYCHOLOGICAL AND EDUCATIONAL SERVICES, LLC

Provider Business Mailing Address
First Line	:	26 N SCOTT ST
Second Line	:
City	:	CARBONDALE
State	:	PA
Zip	:	18407-1834
Country	:	US
Telephone Number	:	570-354-8001
Fax Number	:

Provider Business Practice Location Address
First Line	:	26 N SCOTT ST
Second Line	:
City	:	CARBONDALE
State	:	PA
Zip	:	18407-1834
Country	:	US
Telephone Number	:	570-354-8001
Fax Number	:

Authorized Official
Title or Position	:	OWNER/PSYCHOLOGIST
Name	:	DR. KATHLEEN MORO
Credential	:	PSY.D.
Telephone Number	:	570-354-8001

Provider Enumeration Date	:	09/19/2025
Last Update Date	:	05/21/2026

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