| Berkley Hills Medical Psychology2 | |
|
322 Warren St Ste 300 Johnstown PA 15905-3443 | |
| (814) 288-4498 | |
| (814) 288-5427 |
| Full Name | Berkley Hills Medical Psychology2 |
|---|---|
| Speciality | Psychologist |
| Location | 322 Warren St, Johnstown, Pennsylvania |
| Authorized Official Name and Position | Richard M Kastelic (PRESIDENT) |
| Authorized Official Contact | 8142881418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Berkley Hills Medical Psychology2 322 Warren St Ste 300 Johnstown PA 15905-3443 Ph: (814) 288-4498 | Berkley Hills Medical Psychology2 322 Warren St Ste 300 Johnstown PA 15905-3443 Ph: (814) 288-4498 |
| NPI Number | 1760669451 |
|---|---|
| Provider Enumeration Date | 01/25/2008 |
| Last Update Date | 01/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760669451 | NPI | - | NPPES |
| 1998676 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PS006299L (Pennsylvania) | Primary |
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