| Breezewood Behavioral Health Services | |
|
90 Beaver Dr Ste 117d Du Bois PA 15801-2440 | |
| (814) 371-1340 | |
| (814) 371-1864 |
| Full Name | Breezewood Behavioral Health Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 90 Beaver Dr, Du Bois, Pennsylvania |
| Authorized Official Name and Position | Albert J Digilarmo (BUSINESS OPERATIONS MANAGER) |
| Authorized Official Contact | 8143711340 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breezewood Behavioral Health Services 90 Beaver Dr Ste 117d Du Bois PA 15801-2440 Ph: (814) 371-1340 | Breezewood Behavioral Health Services 90 Beaver Dr Ste 117d Du Bois PA 15801-2440 Ph: (814) 371-1340 |
| NPI Number | 1326265380 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 11/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326265380 | NPI | - | NPPES |
| 1016812320001 | Medicaid | PA | |
| 1016812320002 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS-007769-L (Pennsylvania) | Primary |
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