| Guidling Light Health Llc | |
|
1315 S Allen St Suite 104, 2nd Floor State College PA 16801-5923 | |
| (814) 753-4422 | |
| Not Available |
| Full Name | Guidling Light Health Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1315 S Allen St, State College, Pennsylvania |
| Authorized Official Name and Position | Dmitry A Vilensky (OWNER) |
| Authorized Official Contact | 8147534422 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Guidling Light Health Llc 1315 S Allen St Ste 104 State College PA 16801-5923 Ph: (814) 753-4422 | Guidling Light Health Llc 1315 S Allen St Suite 104, 2nd Floor State College PA 16801-5923 Ph: (814) 753-4422 |
| NPI Number | 1447624507 |
|---|---|
| Provider Enumeration Date | 11/30/2015 |
| Last Update Date | 01/28/2021 |
| Certification Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447624507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD451033 (Pennsylvania) | Primary |
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