Lycoming County Crippled Children'S in Williamsport - Clinical
Lycoming County Crippled Children'S - NPI 1104970227
Lycoming County Crippled Children'S is a Clinical in Williamsport, Pennsylvania. Lycoming County Crippled Children'S practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lycoming County Crippled Children'S is 1104970227. The last update date is 2009-09-28.
Lycoming County Crippled Children'S's current location address is 625 W Edwin St, Williamsport, Pennsylvania. You can contact this provider via phone number 5703260565 and fax number 5703292522. The mailing address for Lycoming County Crippled Children'S is 625 W Edwin St, Williamsport, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lycoming County Crippled Children'S |
|---|---|
| Address | 625 W Edwin St, Williamsport, Pennsylvania |
| Phone Number | 5703260565 |
| Fax Number | 5703292522 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Perrotta P. Anthony |
| Telephone Number | 5703260565 |
NPI Number Detail
| NPI Number | 1104970227 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2009-09-28 |
Provider Mailing Address Detail
| Address | 625 W Edwin St |
|---|---|
| City | Williamsport |
| State | Pennsylvania (PA) |
| Post Code | 17701 |
| Phone Number | 5703260565 |
| Fax Number | 5703292522 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | PS005489L |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100004601 | PA | -- | |
| 43093 | PA | GEISINGER HEALTH PLAN | |
| 999239 | PA | HIGHMARK BLUE SHIELD | |
| 1000046010005 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lycoming County Crippled Children'S by the Centers for Medicare & Medicaid Services?
The Lycoming County Crippled Children'S has been assigned the NPI (National Provider Identifier) 1104970227 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Lycoming County Crippled Children'S?
The Lycoming County Crippled Children'S is physically situated at 625 W Edwin St, in the city of Williamsport, state of PA, with the postal code 17701.
What is Lycoming County Crippled Children'S's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lycoming County Crippled Children'S is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
On what date did the Lycoming County Crippled Children'S receive the assignment of its 1104970227 from the Centers for Medicare & Medicaid Services?
The Lycoming County Crippled Children'S was issued its 1104970227 by the Centers for Medicare & Medicaid Services on 2007-01-23.
As of what date were the Lycoming County Crippled Children'S's details last updated?
The information pertaining to the Lycoming County Crippled Children'S, including its address, specialty, and other details, was most recently updated on 2009-09-28.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC
NPI Number: 1851394431
Address: 220 Reservoir St, Harrisonburg, VA