Luzerne Wyoming County Mh Center #1 in Kingston - Psychologist
Luzerne Wyoming County Mh Center #1 - NPI 1700066628
Luzerne Wyoming County Mh Center #1 is a Psychologist in Kingston, Pennsylvania. Luzerne Wyoming County Mh Center #1 practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Luzerne Wyoming County Mh Center #1 is 1700066628. The last update date is 2007-11-08.
Luzerne Wyoming County Mh Center #1's current location address is 562 Wyoming Ave, Kingston, Pennsylvania. You can contact this provider via phone number 5705523900 and fax number 5705523907. The mailing address for Luzerne Wyoming County Mh Center #1 is 562 Wyoming Ave, Kingston, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Luzerne Wyoming County Mh Center #1 |
|---|---|
| Address | 562 Wyoming Ave, Kingston, Pennsylvania |
| Phone Number | 5705523900 |
| Fax Number | 5705523907 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Knecht Joseph |
| Telephone Number | 5705523977 |
NPI Number Detail
| NPI Number | 1700066628 |
|---|---|
| Provider Enumeration Date | 2007-11-08 |
| Last Updated Date | 2007-11-08 |
Provider Mailing Address Detail
| Address | 562 Wyoming Ave |
|---|---|
| City | Kingston |
| State | Pennsylvania (PA) |
| Post Code | 187043721 |
| Phone Number | 5705523900 |
| Fax Number | 5705523907 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
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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 proce |
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What is the unique identifier code issued to Luzerne Wyoming County Mh Center #1 by the Centers for Medicare & Medicaid Services?
The Luzerne Wyoming County Mh Center #1 has been assigned the NPI (National Provider Identifier) 1700066628. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Luzerne Wyoming County Mh Center #1?
The Luzerne Wyoming County Mh Center #1 is physically situated at 562 Wyoming Ave, in the city of Kingston, state of PA, with the postal code 187043721.
What is Luzerne Wyoming County Mh Center #1's specialized field of practice, and what is the corresponding taxonomy classification code?
The Luzerne Wyoming County Mh Center #1's area of specialization is Psychologist, and the corresponding taxonomy code that categorizes this field of practice is 103T00000X.
When did the Luzerne Wyoming County Mh Center #1 receive its 1700066628?
The Luzerne Wyoming County Mh Center #1 was issued its 1700066628 on 2007-11-08, which is the date when the organization was assigned this unique identifier.
When was the information pertaining to Luzerne Wyoming County Mh Center #1 most recently updated or revised?
The details related to Luzerne Wyoming County Mh Center #1, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-08.