MARY TEN BROECH DURSO LICENSED PSYCHOLOGIS
NPI 1942259619
Psychologist in Moutaintop, PA

Active since May 09, 2006
359 S MOUNTAIN BLVD, SUITE C2, MOUTAINTOP, PA 18707(570) 403-5080(570) 403-5079 Get Directions Write a Review

NPPES record last updated: April 9, 2014. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mary Ten Broech Durso Licensed Psychologis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MARY TEN BROECH DURSO LICENSED PSYCHOLOGIS (NPI 1942259619) is an individual psychologist in Moutaintop, Pennsylvania, licensed in Pennsylvania (PS006873L) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1942259619
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMARY TEN BROECH DURSOCredential: LICENSED PSYCHOLOGIS
Location Address359 S MOUNTAIN BLVD, SUITE C2Moutaintop, PA 18707
Mailing AddressHc 88 Box 434Pocono Lake, PA 18347-9512 · (570) 646-0870 · Fax (570) 403-5079
Fax(570) 403-5079
Sole ProprietorYes
Enumeration DateMay 9, 2006
Last NPPES UpdateApril 9, 2014
✔ NPI 1942259619 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in PA · PS006873L
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
359 S MOUNTAIN BLVD, Moutaintop, PA 18707

Other Identifiers 4

Other2056962PA · Cigna
Medicare ID-Type UnspecifiedDV585250PA
Other080953PA · First Priority Hlth
Medicaid0016193400002PA

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
359 S MOUNTAIN BLVD, STE C2
MOUNTAIN TOP, PA 18707
Psychologist (Clinical)
359 S MOUNTAIN BLVD, STE C-2
MOUNTAINTOP, PA 18707
Counselor (Professional)
359 S MOUNTAIN BLVD
MOUNTAIN TOP, PA 18707
Social Worker
359 S MOUNTAIN BLVD, SUITE C2
MOUNTAIN TOP, PA 18707
Dietitian, Registered
359 S MOUNTAIN BLVD
MOUNTAIN TOP, PA 18707
Social Worker (Clinical)
359 S MOUNTAIN BLVD, SUITE C2
MOUNTAIN TOP, PA 18707
Counselor (Mental Health)
359 S MOUNTAIN BLVD
MOUNTAIN TOP, PA 18707
Psychiatry & Neurology (Psychiatry)
359 S MOUNTAIN BLVD, SUITE C-2
MOUNTAINTOP, PA 18707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Durso's NPI number?

The NPI number for Mary Durso is 1942259619. It was assigned to this individual provider in the NPPES registry on May 9, 2006.

Where is Mary Durso located?

Mary Durso practices at 359 S Mountain Blvd Suite C2, Moutaintop, PA 18707. The listed phone number is (570) 403-5080.

What is Mary Durso's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

When was this NPI record last updated?

The NPPES record for Mary Durso was last updated on April 9, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.