Susquehanna Valley Professional Associates, Inc in State College - Professional
Susquehanna Valley Professional Associates, Inc - NPI 1578543054
Susquehanna Valley Professional Associates, Inc is a Professional in State College, Pennsylvania. Susquehanna Valley Professional Associates, Inc practices all healthcare services and medical treatments related to Professional. The NPI Number for Susquehanna Valley Professional Associates, Inc is 1578543054. The last update date is 2015-04-15.
Susquehanna Valley Professional Associates, Inc's current location address is 320 Rolling Ridge Dr, State College, Pennsylvania. You can contact this provider via phone number 8148670670 and fax number 8148677616. The mailing address for Susquehanna Valley Professional Associates, Inc is 320 Rolling Ridge Dr, State College, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Susquehanna Valley Professional Associates, Inc |
|---|---|
| Address | 320 Rolling Ridge Dr, State College, Pennsylvania |
| Phone Number | 8148670670 |
| Fax Number | 8148677616 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING D |
|---|---|
| Authorized Official Name | Derstine Hans Timothy |
| Credentials | M.D. |
| Telephone Number | 8148679755 |
NPI Number Detail
| NPI Number | 1578543054 |
|---|---|
| Provider Enumeration Date | 2006-01-19 |
| Last Updated Date | 2015-04-15 |
Provider Mailing Address Detail
| Address | 320 Rolling Ridge Dr |
|---|---|
| City | State College |
| State | Pennsylvania (PA) |
| Post Code | 168017641 |
| Phone Number | 8148670670 |
| Fax Number | 8148677616 |
Provider's Primary Taxonomy Detail
| Speciality | Professional |
|---|---|
| Taxonomy | 101Yp2500X |
|
Definition: A general counselor who helps people with personal, social, educational, and career issues. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2892000 | PA | CAPITAL BLUE CROSS |
Post Comment/ Review Below
What is the unique identification code assigned to Susquehanna Valley Professional Associates, Inc by the Centers for Medicare & Medicaid Services?
The Susquehanna Valley Professional Associates, Inc has been issued the NPI (National Provider Identifier) 1578543054. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Susquehanna Valley Professional Associates, Inc is located?
The Susquehanna Valley Professional Associates, Inc is situated at the following address: 320 Rolling Ridge Dr, State College, PA, 168017641.
What is Susquehanna Valley Professional Associates, Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Susquehanna Valley Professional Associates, Inc is Professional, and the taxonomy code that categorizes this field of expertise is 101Yp2500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1578543054 to Susquehanna Valley Professional Associates, Inc?
The Susquehanna Valley Professional Associates, Inc received its 1578543054 assignment from the Centers for Medicare & Medicaid Services on 2006-01-19.
As of what date was the information pertaining to Susquehanna Valley Professional Associates, Inc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susquehanna Valley Professional Associates, Inc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-04-15.