| Croyle-serbin Therapeutic Associates, Pc | |
|
290 Grant St Indiana PA 15701-3764 | |
| (814) 341-4389 | |
| (724) 801-8153 |
| Full Name | Croyle-serbin Therapeutic Associates, Pc |
|---|---|
| Speciality | Social Worker |
| Location | 290 Grant St, Indiana, Pennsylvania |
| Authorized Official Name and Position | Carole Serbin (PRESIDENT) |
| Authorized Official Contact | 8143414389 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Croyle-serbin Therapeutic Associates, Pc 290 Grant St Indiana PA 15701-3764 Ph: (814) 341-4389 | Croyle-serbin Therapeutic Associates, Pc 290 Grant St Indiana PA 15701-3764 Ph: (814) 341-4389 |
| NPI Number | 1700046174 |
|---|---|
| Provider Enumeration Date | 06/10/2008 |
| Last Update Date | 04/09/2014 |
| Medicare PECOS PAC ID | 6406923929 |
|---|---|
| Medicare Enrollment ID | O20080925000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700046174 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CW001067-E (Pennsylvania) | Primary |
| Provider Name | Carole Serbin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164417663 PECOS PAC ID: 1850343716 Enrollment ID: I20050218000479 |
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