| Clarion Family Therapy, Inc. | |
|
22868 Route 68 Suite 5 Clarion PA 16214-8566 | |
| (814) 227-2941 | |
| (814) 227-2946 |
| Full Name | Clarion Family Therapy, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 22868 Route 68, Clarion, Pennsylvania |
| Authorized Official Name and Position | Sondra Nolf (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8142272941 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarion Family Therapy, Inc. 22868 Route 68 Suite 5 Clarion PA 16214-8566 Ph: (814) 227-2941 | Clarion Family Therapy, Inc. 22868 Route 68 Suite 5 Clarion PA 16214-8566 Ph: (814) 227-2941 |
| NPI Number | 1366863870 |
|---|---|
| Provider Enumeration Date | 12/31/2013 |
| Last Update Date | 11/15/2023 |
| Certification Date | 11/15/2023 |
| Medicare PECOS PAC ID | 6103040605 |
|---|---|
| Medicare Enrollment ID | O20140623002209 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366863870 | NPI | - | NPPES |
| Provider Name | Gerald M Streets |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679786669 PECOS PAC ID: 5395844559 Enrollment ID: I20070628000474 |
| Provider Name | Rochelle B Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871977017 PECOS PAC ID: 0244545291 Enrollment ID: I20150819008820 |
| Provider Name | Amy L Buzard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922507771 PECOS PAC ID: 7416280151 Enrollment ID: I20190611002998 |
| Provider Name | Michael B Esang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780061846 PECOS PAC ID: 8224375696 Enrollment ID: I20190829000359 |
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