| Blackbird Clinical Services Pc | |
|
1247 S Cedar Crest Blvd Ste 107 Allentown PA 18103-6347 | |
| (484) 202-0751 | |
| (610) 770-1805 |
| Full Name | Blackbird Clinical Services Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1247 S Cedar Crest Blvd Ste 107, Allentown, Pennsylvania |
| Authorized Official Name and Position | Matthew Keener (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4125276496 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackbird Clinical Services Pc 1247 S Cedar Crest Blvd Ste 107 Allentown PA 18103-6347 Ph: (484) 202-0751 | Blackbird Clinical Services Pc 1247 S Cedar Crest Blvd Ste 107 Allentown PA 18103-6347 Ph: (484) 202-0751 |
| NPI Number | 1598524563 |
|---|---|
| Provider Enumeration Date | 03/13/2024 |
| Last Update Date | 03/13/2024 |
| Certification Date | 03/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598524563 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | (* (Not Available)) | Primary |
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