Benjamin Northrup, MA | |
1000 Commerce Park Dr Ste 110, Williamsport, PA 17701-5475 | |
(570) 323-6944 | |
Not Available |
Full Name | Benjamin Northrup |
---|---|
Gender | Male |
Speciality | Counselor - Professional |
Location | 1000 Commerce Park Dr Ste 110, Williamsport, Pennsylvania |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144902883 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | PC017111 (Pennsylvania) | Primary |
Entity Name | Community Services Group Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1265426084 PECOS PAC ID: 1052201571 Enrollment ID: O20040318000465 |
Mailing Address | Practice Location Address |
---|---|
Benjamin Northrup, MA Po Box 597, Mountville, PA 17554-0597 Ph: (877) 907-7970 | Benjamin Northrup, MA 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701-5475 Ph: (570) 323-6944 |
Tanya Leigh Starr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 | |
Alyssa Lea Knauber, Counselor Medicare: Medicare Enrolled Practice Location: 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701 Phone: 570-323-6944 | |
Lori Kahler Brown, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1000 Commerce Park Dr Ste 110, Williamsport, PA 17701 Phone: 570-323-6944 | |
Mrs. Channon M Cunningham, MSW, LCSW, CAC/CCDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 460 Market St, Ste 114, Williamsport, PA 17701 Phone: 570-212-9481 | |
Ms. Tonya Rene Anderson, CMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 Fax: 570-322-8026 | |
Kathleen E Soccio, BSL, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1521 Washington Blvd, Williamsport, PA 17701 Phone: 570-322-5051 Fax: 570-322-6788 | |
John Wright, Counselor Medicare: Not Enrolled in Medicare Practice Location: 435 W 4th St, Williamsport, PA 17701 Phone: 570-322-7873 |