| Blackburn Psychiatry Llc | |
|
132 Howard St Millvale PA 15209-2524 | |
| (412) 533-3995 | |
| (412) 533-3998 |
| Full Name | Blackburn Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 132 Howard St, Millvale, Pennsylvania |
| Authorized Official Name and Position | Mathilda Nance (OFFICE MANAGER) |
| Authorized Official Contact | 4125333995 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blackburn Psychiatry Llc 132 Howard St Millvale PA 15209-2524 Ph: (412) 533-3995 | Blackburn Psychiatry Llc 132 Howard St Millvale PA 15209-2524 Ph: (412) 533-3995 |
| NPI Number | 1558807925 |
|---|---|
| Provider Enumeration Date | 01/10/2017 |
| Last Update Date | 08/15/2017 |
| Medicare PECOS PAC ID | 6800167180 |
|---|---|
| Medicare Enrollment ID | O20170804000469 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558807925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD454399 (Pennsylvania) | Primary |
| Provider Name | Vint R Blackburn |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205198249 PECOS PAC ID: 7618248998 Enrollment ID: I20170815001339 |
Stahler Counseling And Consulting Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 820 Evergreen Ave Ste 204, Millvale, PA 15209 Phone: 412-613-4484 | |
Nina J. Hotkowski Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 132 Howard St, Millvale, PA 15209 Phone: 412-254-4185 |