Children's Paraclete | |
227 Franklin St Suite 300 Johnstown PA 15901-1916 | |
(814) 539-9636 | |
(814) 535-4497 |
Full Name | Children's Paraclete |
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Speciality | Psychologist |
Location | 227 Franklin St, Johnstown, Pennsylvania |
Authorized Official Name and Position | John D Bixler (CEO/PRESIDENT) |
Authorized Official Contact | 8145399636 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Children's Paraclete 227 Franklin St Suite 300 Johnstown PA 15901-1916 Ph: (814) 539-9636 | Children's Paraclete 227 Franklin St Suite 300 Johnstown PA 15901-1916 Ph: (814) 539-9636 |
NPI Number | 1316923568 |
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Provider Enumeration Date | 12/20/2005 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316923568 | NPI | - | NPPES |
001650500-001 | Other | PA | MEDICAL ASSISTANCE |
BI1783335 | Other | PA | HIGHMARK BLUE SHIELD PROV |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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