| Behavioral Medicine Associates Of Northeastern Lennsylvania, Llc | |
|
480 Pierce St Ste 303 Kingston PA 18704-5512 | |
| (570) 690-5159 | |
| Not Available |
| Full Name | Behavioral Medicine Associates Of Northeastern Lennsylvania, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 480 Pierce St Ste 303, Kingston, Pennsylvania |
| Authorized Official Name and Position | Francisco Salas Guerra (BUSINESS MANAGER) |
| Authorized Official Contact | 5706905159 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Behavioral Medicine Associates Of Northeastern Lennsylvania, Llc 480 Pierce St Ste 303 Kingston PA 18704-5512 Ph: (570) 690-5159 | Behavioral Medicine Associates Of Northeastern Lennsylvania, Llc 480 Pierce St Ste 303 Kingston PA 18704-5512 Ph: (570) 690-5159 |
| NPI Number | 1023545696 |
|---|---|
| Provider Enumeration Date | 05/15/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023545696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD435626 (Pennsylvania) | Primary |
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