Bethany Christian Services | |
2147 E College Ave Ste A State College PA 16801-7204 | |
(814) 867-2828 | |
(814) 867-2828 |
Full Name | Bethany Christian Services |
---|---|
Speciality | Social Worker - Clinical |
Location | 2147 E College Ave Ste A, State College, Pennsylvania |
Authorized Official Name and Position | Lisa Stoutmeyer (BILLER) |
Authorized Official Contact | 6162247429 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Bethany Christian Services 2147 E College Ave Ste A State College PA 16801-7204 Ph: (814) 867-2828 | Bethany Christian Services 2147 E College Ave Ste A State College PA 16801-7204 Ph: (814) 867-2828 |
NPI Number | 1942880117 |
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Provider Enumeration Date | 04/12/2021 |
Last Update Date | 04/12/2021 |
Certification Date | 04/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942880117 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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